Organization
PEREGRINE PACIFIC ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ELWOOD MD (PROVIDER/OWNER)
(253) 588-7911
Entity
Organization
Contact information
Practice address
4915 25TH AVE NE, SUITE 205, SEATTLE, WA 98105-5667
(206) 524-1600
(206) 524-1603
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00035066
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00035066
MEDICAL LICENSE
WA
Enumeration date
01/11/2012
Last updated
01/11/2012
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