Organization · NPI-2

Creelman Family Practice PLLC

Family Medicine · Burlington, WA

NPI number1174699391
StatusActive
Last updated in NPPESMar 21, 2018

Details

NPI
1174699391
Entity type
Organization (NPI-2)
Legal business name
Creelman Family Practice PLLC
Organization subpart
No
Enumeration date
Nov 28, 2006
Last updated
Mar 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Paul C Creelman MD Abfp & David D Shilling MD Abfp LLP Etal (Former Legal Business Name)

Practice location

712 S Burlington Blvd
Burlington, WA 98233-2212

Phone 360-757-0027 · Fax 360-757-3698

Mailing address

712 S Burlington Blvd
Burlington, WA 98233-2212

Phone 360-757-0027 · Fax 360-757-3698

Authorized official

Paul Christopher Creelman
Owner
3607570027

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