Provider First Line Business Practice Location Address:
PEACEHEALTH MEDICAL GROUP
Provider Second Line Business Practice Location Address:
4545 CORDATA PARKWAY, SUITE 1B
Provider Business Practice Location Address City Name:
BELLINGHAM
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-752-5216
Provider Business Practice Location Address Fax Number:
360-752-5669
Provider Enumeration Date:
12/21/2016