Organization
PFIM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE MATHEW MD,PHD (MANAGING MEMBER)
(360) 775-3515
Entity
Organization
Contact information
Practice address
618 E WASHINGTON ST, SEQUIM, WA 98382-3812
(360) 775-3515
(866) 823-8073
Mailing address
618 E WASHINGTON ST, SEQUIM, WA 98382-3812
(360) 775-3515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00033873
MD LICENSE
WA
Enumeration date
11/03/2019
Last updated
01/10/2020
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