Organization
PARKWAY GENERAL SURGEONS
Active
Other names
VANDERGRIEND & VANDERGRIEND
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY A EBERT (PRACTICE MANAGER)
(360) 733-0070
Entity
Organization
Contact information
Practice address
2940 SQUALICUM PKWY, SUITE 204, BELLINGHAM, WA 98225-1892
(360) 733-0070
(360) 676-8351
Mailing address
2940 SQUALICUM PKWY, SUITE 204, BELLINGHAM, WA 98225-1892
(360) 733-0070
(360) 676-8351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
602762505
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7883507
—
WA
Enumeration date
01/26/2007
Last updated
01/28/2013
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