Individual
DR. GARY RHETT ANDELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9631 - 269TH STREET NW, STANWOOD, WA 98292
(360) 629-1600
(360) 629-1644
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OP60546093
WA
207Q00000X
Family Medicine Physician
9461
IA
207Q00000X
Family Medicine Physician
Primary
OP60546093
WA
Other
Enumeration date
06/08/2012
Last updated
04/12/2018
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