Individual provider · NPI-1

Dale R Abbott, MD

Family Medicine · Burlington, WA

NPI number1760453534
StatusActive
Last updated in NPPESNov 1, 2011

Details

NPI
1760453534
Entity type
Individual (NPI-1)
Name
Dale R Abbott
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 30, 2006
Last updated
Nov 1, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine25209MD00025894WAYes

Practice location

835 East Fairhaven Avenue
Burlington, WA 98233-0329

Phone 360-755-0641 · Fax 360-755-1405

Mailing address

835 East Fairhaven Avenue
Pob 329
Burlington, WA 98233-0329

Phone 360-755-0641 · Fax 360-755-1405

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