Individual
TERRY PEXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2601 CHERRY AVE, STE 200, BREMERTON, WA 98310-4208
(360) 415-9110
(360) 479-0265
Mailing address
2601 CHERRY AVE, STE 200, BREMERTON, WA 98310-4208
(360) 415-9110
(360) 479-0265
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OP60339103
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
20A 10774
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0312161
LABOR & INDUSTRIES
WA
Enumeration date
05/19/2008
Last updated
09/30/2013
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