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Organization

PENINSULA INTERNAL MEDICINE ASSOCIATES PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL MC FARLAND (MGR)
(253) 858-0783
Entity
Organization

Contact information

Practice address
4423 POINT FOSDICK DR NW, SUITE 200-A, GIG HARBOR, WA 98335-1797
(253) 853-2702
(253) 853-2833
Mailing address
4423 POINT FOSDICK DR NW, SUITE 200-A, GIG HARBOR, WA 98335-1797
(253) 853-2702
(253) 853-2833

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
601201408
WA
207RN0300X
Nephrology Physician
Primary
601201408
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7109523
WA
Enumeration date
03/02/2006
Last updated
07/17/2008
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