Organization
CHATTAROY FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIL M GRIFFIN III MD (PRESIDENT)
(509) 276-2554
Entity
Organization
Contact information
Practice address
23 E. CRAWFORD AVE., DEER PARK, WA 99006
(509) 276-2554
(509) 276-2564
Mailing address
PO BOX 1304, DEER PARK, WA 99006-1304
(509) 276-2554
(509) 276-2564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00049372
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851613749
—
WA
Enumeration date
02/19/2010
Last updated
12/01/2016
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