Organization
KINGSTON LIBERTY BAY INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA BUECHLER (OFFICE ADMINISTRATOR)
(360) 297-6900
Entity
Organization
Contact information
Practice address
25995 BARBER CUT OFF RD NE, KINGSTON, WA 98346-8456
(360) 297-6900
(360) 297-2034
Mailing address
25995 BARBER CUT OFF RD NE, KINGSTON, WA 98346-8456
(360) 297-6900
(360) 297-2034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PA10000878
WA
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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