Individual
DR. DANE BAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
3021 GRIFFIN AVE, ENUMCLAW, WA 98022-2369
(360) 825-6511
(253) 272-0419
Mailing address
3021 GRIFFIN AVE, ENUMCLAW, WA 98022-2369
(360) 825-6511
(253) 272-0419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125069413
IL
207Q00000X
Family Medicine Physician
Primary
MD60947429
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2141678
—
WA
Enumeration date
06/16/2016
Last updated
12/01/2020
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