Organization Name: | SKAGIT VALLEY MEDICAL CENTER INC, PS DBA PACIFIC NORTHWEST CARDIOLOGY |
NPI Number: | 1356528913 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN D BOND (PRESIDENT) |
Mailing Address: | 307 S 13th St Mount Vernon |
State: | WA US |
Postal Code: | 982744100 |
Phone Number: | 3603361609 |
Fax Number: | 3603362088 |
NPI Enumeration Date: | 01/25/2008 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |