MADRONA MEDICAL GROUP P.S. NPI 1659362143

NPI Information

MADRONA MEDICAL GROUP, P.S. is an ambulatory surgical clinic center in Bellingham, WA. MADRONA MEDICAL GROUP, P.S. NPI is 1659362143. The provider is registered as an organization entity type.
The provider Is Doing Business As Madrona Endoscopy Suite.

The provider's business location address is:

4545 CORDATA PKWY
BELLINGHAM, WA
ZIP 98226-123
Phone: (360) 738-2200
Fax: (360) 753-5673

The provider's authorized official is Sandy Mellott .
The authorized official title is Director Clinical Services and has the following contact phone number (360) 738-2200.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 10/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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