Individual
MR. LEE WHITNEY ROOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 NORTH MAIN ST, COUPEVILLE, WA 98239
(360) 678-4440
(360) 678-9244
Mailing address
PO BOX 746, COUPEVILLE, WA 98239
(360) 678-4440
(360) 678-9244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M000018926
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9239923
—
WA
Enumeration date
06/19/2006
Last updated
11/17/2009
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