Provider First Line Business Practice Location Address:
3015 SQUALICUM PKWY STE 200
Provider Second Line Business Practice Location Address:
CENTER FOR ORTHOPEDICS AND SPORTS MEDICINE
Provider Business Practice Location Address City Name:
BELLINGHAM
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98225-1906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-733-2092
Provider Business Practice Location Address Fax Number:
360-788-6042
Provider Enumeration Date:
08/02/2013