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Organization

WESTERN WASHINGTON MEDICAL GROUP INC PS

Active
Other names
WWMG Dept of Neurology Hospitalist, WWMG Dept of Neurology
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH BAE (CONTRACT ANALYST/CREDENTIALING COOR)
(425) 259-4041
Entity
Organization

Contact information

Practice address
12728 19TH AVE SE, SUITE 300, EVERETT, WA 98208-6526
(425) 259-4041
Mailing address
1728 W MARINE VIEW DR, SUITE 110, EVERETT, WA 98201-2094
(425) 259-4041

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
2084N0400X
Neurology Physician

Other

Enumeration date
08/05/2016
Last updated
06/19/2024
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