| Organization Name: | MULTI MED MANAGEMENT CORP |
| NPI Number: | 1992107130 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILIP A WARD (OWNER) |
| Mailing Address: | 205 Stewart Rd Suite 104 Mount Vernon |
| State: | WA US |
| Postal Code: | 982739607 |
| Phone Number: | 3604163322 |
| Fax Number: | 2607077103 |
| NPI Enumeration Date: | 09/18/2014 |
| NPI Last Update Date: | 09/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00019249 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |