Individual
PHILIP J. ZYLSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3823 - 172ND ST NE, CASCADE SKAGIT HEALTH ALLIANCE, ARLINGTON, WA 98223
(360) 618-5000
(360) 659-9834
Mailing address
1400 E. KINCAID ST., ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00027151
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080347
LABOR & INDUSTRIES
WA
01
—
263664
LABOR & INDUSTRIES
WA
05
—
8117715
—
WA
01
—
R44189
REGENCE BLUE SHIELD
—
Enumeration date
04/14/2006
Last updated
10/05/2012
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