Individual
DR. AUDREY M SCALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5107 142ND PL SE, BELLEVUE, WA 98006-3446
(425) 641-0898
Mailing address
5107 142ND PL SE, BELLEVUE, WA 98006-3446
(425) 641-0898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
78391
ZZ
207Q00000X
Family Medicine Physician
Primary
MD00039409
WA
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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