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Individual

COREY ADAIR FISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2101 LITTLE MOUNTAIN LN, MOUNT VERNON, WA 98274-8752
(360) 428-2622
(360) 428-3941
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD169390
OR
208000000X
Pediatrics Physician
Primary
MD61148701
WA

Other

Enumeration date
06/14/2009
Last updated
05/21/2024
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