Dr. Jeffrey E Maple, MD
Family Medicine in Ilwaco, WA. Individual provider (NPI-1).
NPI number1992792014
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1992792014
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey E Maple
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD00035420 | WA | Yes |
Practice location
117 Spruce StIlwaco, WA 98624
Phone 360-642-2662 · Fax 360-642-2663
Mailing address
Po Box 919Ilwaco, WA 98624-0919
Phone 360-642-2662 · Fax 360-642-2663
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