Organization
BAYSIDE VEIN & LASER CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY ANDREW TAYLOR MD (MEMBER)
(360) 739-0948
Entity
Organization
Contact information
Practice address
3127 BRANDYWINE WAY, BELLINGHAM, WA 98226-3878
(360) 739-0948
Mailing address
3127 BRANDYWINE WAY, BELLINGHAM, WA 98226-3878
(360) 739-0948
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7133457
—
WA
Enumeration date
05/09/2006
Last updated
07/22/2021
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