Organization
SEDRO WOOLLEY EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T MITCHELL MD (PRESIDENT)
(800) 230-5160
Entity
Organization
Contact information
Practice address
2000 HOSPITAL DR, SEDRO WOOLLEY, WA 98284-4327
(360) 856-7110
Mailing address
PO BOX 8459, PHILADELPHIA, PA 19101-8459
(805) 563-3011
(805) 564-5087
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7122948
—
WA
01
—
DE1146
RAILROAD MEDICARE
WA
Enumeration date
05/06/2006
Last updated
04/20/2008
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