Organization
PAUL A. ZAVERUHA, MD, PS., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL E HILKEY (BOOKKEEPER)
(360) 678-6433
Entity
Organization
Contact information
Practice address
101 NE BIRCH ST, COUPEVILLE, WA 98239-3133
(360) 678-6433
(360) 678-6812
Mailing address
PO BOX 1080, COUPEVILLE, WA 98239-1080
(360) 678-6433
(360) 678-6812
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00019657
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001437
—
WA
01
—
G8893296
PTAN
WA
Enumeration date
07/26/2010
Last updated
11/28/2010
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