Individual
JAMES MICHAEL SCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
216 W 10TH AVE, SUITE 202, KENNEWICK, WA 99336-6300
(509) 585-5954
(509) 586-5869
Mailing address
7203 W DESCHUTES AVE, KENNEWICK, WA 99336-7777
(509) 737-1880
(509) 737-1879
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00033435
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1096668
—
WA
Enumeration date
05/18/2006
Last updated
07/12/2010
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