Organization
PHYSICAL MEDICINE NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY E FITZTHUM MD (OWNER/PROVIDER)
(425) 967-6974
Entity
Organization
Contact information
Practice address
549 MAIN ST, EDMONDS, WA 98020-3149
(425) 967-6974
(425) 967-5480
Mailing address
549 MAIN ST, EDMONDS, WA 98020-3149
(425) 967-6974
(425) 967-5480
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MD 00038676
WA
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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