Organization
SKAGIT VALLEY MEDICAL CENTER, INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BOND MD (PRESIDENT)
(360) 428-2500
Entity
Organization
Contact information
Practice address
9631 269TH ST NW, STANWOOD, WA 98292-8071
(360) 629-1600
(360) 629-1644
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7110869
—
WA
01
—
7806201
GROUP DSHS NUMBER
WA
Enumeration date
05/14/2007
Last updated
08/22/2020
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