Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Jul 16, 2014
License(s)
MD61038401 (WA), MD61038401 (WA), MD61038401 (WA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 200 NE MOTHER JOSEPH PL STE 400 | Vancouver, WA 98664-3290 | 360-514-4444 |
| MAILING | 310 EXCHANGE BLVD APT 324 | Rochester, NY 14608-2780 |
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