Individual
JIMMIE JOE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACEP
Contact information
Practice address
2901 SQUALICUM PKWY, BELLINGHAM, WA 98225-1851
(360) 734-5400
(360) 738-6377
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00028562
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0168203
LIWA
WA
05
—
8128290
—
WA
01
—
8852PE
BSWA
WA
Enumeration date
07/03/2006
Last updated
03/05/2008
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