| Mutiny Bay Medical Pllc | |
|
5548 Myrtle Ave Ste 201 Freeland WA 98249-8776 | |
| (360) 331-3391 | |
| Not Available |
| Full Name | Mutiny Bay Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5548 Myrtle Ave Ste 201, Freeland, Washington |
| Authorized Official Name and Position | Thomas Harris (PHYSICIAN) |
| Authorized Official Contact | 3603313391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mutiny Bay Medical Pllc 5548 Myrtle Ave Ste 201 Freeland WA 98249-8776 Ph: (360) 331-3391 | Mutiny Bay Medical Pllc 5548 Myrtle Ave Ste 201 Freeland WA 98249-8776 Ph: (360) 331-3391 |
| NPI Number | 1427378355 |
|---|---|
| Provider Enumeration Date | 06/02/2010 |
| Last Update Date | 06/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427378355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00001446 (Washington) | Primary |
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