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Individual

DR. JEFFREY LYLE SUMME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
19031 33RD AVE W, SUITE 314, LYNNWOOD, WA 98036-4731
(425) 744-0709
(425) 771-1470
Mailing address
19031 33RD AVE W, SUITE 314, LYNNWOOD, WA 98036-4731
(425) 744-0709
(425) 771-1470

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1198
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1301647
WA
Enumeration date
08/02/2006
Last updated
07/08/2007
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