Organization
PEDIATRIC ASSOCIATES OF WHIDBEY ISLAND, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY S NAGEL (OFFICE MANAGER)
(360) 675-5555
Entity
Organization
Contact information
Practice address
275 SE CABOT DR, SUITE B102, OAK HARBOR, WA 98277-3715
(360) 675-5555
(360) 675-0275
Mailing address
275 SE CABOT DR, SUITE B102, OAK HARBOR, WA 98277-3715
(360) 675-5555
(360) 675-0275
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045623
—
WA
Enumeration date
04/19/2007
Last updated
09/27/2017
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