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SIDNEY F WHALEY JR

Surgery Yellow Pages

Tacoma, Washington

Provider NPI: 1336129154

Organization Information:
Organization Name:  SIDNEY F WHALEY JR


Practice Location:
314 MLK JR WY #210  TACOMA, WA 98405 US
Tel: 253-383-1529  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207ND0101XPhysicians
Dermatology
MOHS-Micrographic Surgery
WA10945
N207ND0900XPhysicians
Dermatology
WA10945
Y207N00000XPhysicians
Dermatology
WA10945

Other Provider Identifiers:

IssuerNumberStateType
1930007WA05
REGENCEWH411101
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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