Individual provider · NPI-1

Michael R Dillard, MD

Family Medicine · Burlington, WA

NPI number1376522367
StatusActive
Last updated in NPPESNov 1, 2011

Details

NPI
1376522367
Entity type
Individual (NPI-1)
Name
Michael R Dillard
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 10, 2006
Last updated
Nov 1, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD00024124WAYes

Practice location

835 E Fairhaven Ave
Burlington, WA 98233-1916

Phone 360-755-0641 · Fax 360-755-1405

Mailing address

Po Box 329
835 East Fairhaven Ave
Burlington, WA 98233-0329

Phone 360-755-0641 · Fax 360-755-1405

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