Organization
WESTERN WASHINGTON MEDICAL GROUP, INC
Active
Other names
Orthopedic, Sports and Hand Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY TILLINGER CEO (CEO)
(425) 740-4149
Entity
Organization
Contact information
Practice address
3726 BROADWAY STE 201, EVERETT, WA 98201-3788
(425) 317-9119
(425) 317-9118
Mailing address
3726 BROADWAY STE 201, EVERETT, WA 98201-3788
(425) 317-9119
(425) 317-9118
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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