Organization
DIABETES CONTROL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLARD HAWKINS BAKER C PED (BOARD CERTIFIED PEDORTHIST)
(360) 479-8881
Entity
Organization
Contact information
Practice address
702 LEBO BLVD STE B, BREMERTON, WA 98310-3370
(360) 479-8881
(360) 479-8882
Mailing address
702 LEBO BLVD STE B, BREMERTON, WA 98310-3370
(360) 479-8881
(360) 479-8882
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9057225
—
WA
Enumeration date
03/14/2007
Last updated
11/16/2009
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