Organization
MADRONA MEDICAL GROUP, P.S.
Active
Other names
Madrona Endoscopy Suite
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY MELLOTT (DIRECTOR CLINICAL SERVICES)
(360) 738-2200
Entity
Organization
Contact information
Practice address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
(360) 753-5673
Mailing address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601644971
WA
Other
Enumeration date
11/02/2005
Last updated
10/06/2008
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