Individual provider · NPI-1

Richard J Abbott, M.D.

Family Medicine · Mount Vernon, WA

NPI number1689835803
StatusActive
Last updated in NPPESJun 19, 2008

Details

NPI
1689835803
Entity type
Individual (NPI-1)
Name
Richard J Abbott
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 19, 2008
Last updated
Jun 19, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine17316WAYes

Practice location

18258 Peregrine Ln
Mount Vernon, WA 98274-7726

Phone 360-708-5326

Mailing address

18258 Peregrine Ln
Mount Vernon, WA 98274-7726

Phone 360-708-5326

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