Individual
DALE R ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
835 EAST FAIRHAVEN AVENUE, BURLINGTON, WA 98233-0329
(360) 755-0641
(360) 755-1405
Mailing address
835 EAST FAIRHAVEN AVENUE, POB 329, BURLINGTON, WA 98233-0329
(360) 755-0641
(360) 755-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25209MD00025894
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054188
—
WA
Enumeration date
01/30/2006
Last updated
11/01/2011
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