Cole Alexander Daom, PLLC
Clinic/Center, Health Services in Marysville, WA. Organization (NPI-2).
NPI number1689350993
StatusActive
Last updated in NPPESJun 22, 2023
Details
- NPI
- 1689350993
- Entity type
- Organization (NPI-2)
- Legal business name
- Cole Alexander Daom, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 22, 2023
- Certification date
- Jun 22, 2023
- Last updated
- Jun 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
Practice location
6128 96th St NeMarysville, WA 98270-2433
Phone 425-419-7033
Mailing address
522 W Riverside Ave Ste NSpokane, WA 99201-0580
Phone 425-419-7033
Authorized official
Cole Alexander
Owner
4254197033
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