Individual
MR. DAREY A PHILBRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 ORTING-KAPOWSIN HWY E, ORTING, WA 98360
(360) 893-4515
(360) 893-4590
Mailing address
1301 ORTING-KAPOWSIN HWY E, ORTING, WA 98360
(360) 893-4515
(360) 893-4590
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J6662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040AV
BLUE CROSS BLUE SHIELD TX
TX
01
—
119756
SUPERIOR HEALTH PLAN
TX
05
—
127632105
—
TX
01
—
181622100
DEPT OF LABOR
TX
01
—
3399136
BLUE LINK
TX
01
—
3975330001
DEMERC REGION C PALMETO
TX
01
—
8X1180
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
04/03/2006
Last updated
08/14/2013
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