Individual
DR. JOHN BLAISE ELLERY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
808 N 5TH AVE, SEQUIM, WA 98382-3045
(360) 683-5900
(360) 582-4800
Mailing address
808 N 5TH AVE, SEQUIM, WA 98382-3045
(360) 683-5900
(360) 582-4800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61439050
WA
Other
Enumeration date
03/24/2020
Last updated
04/22/2024
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