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Organization

COUNTRY CLINIC

Active
Other names
THE WINTHROP COUNTRY CLINIC LLC
Organization subpart
No

Provider details

NPI number
Authorized official
ANN DIAMOND MD (PHYSICIAN PARTNER)
(509) 996-8180
Entity
Organization

Contact information

Practice address
1116 HWY 20, WINTHROP, WA 98862
(509) 996-8180
(509) 996-3374
Mailing address
PO BOX 945, WINTHROP, WA 98862-0945
(509) 996-8180
(509) 996-3374

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00033304
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7103807
WA
Enumeration date
07/17/2006
Last updated
04/20/2008
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