Individual
JACK PHILBRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1519 3RD ST SE, STE 210, PUYALLUP, WA 98372-3742
(253) 445-1844
Mailing address
1519 3RD ST SE, STE 210, PUYALLUP, WA 98372-3742
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00017083
WA
Other
Enumeration date
07/18/2006
Last updated
01/13/2009
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