Provider First Line Business Practice Location Address:
1400 E. KINCAID STREET
Provider Second Line Business Practice Location Address:
SKAGIT REGIONAL CLINICS-UROLOGY
Provider Business Practice Location Address City Name:
MOUNT VERNON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-814-6565
Provider Business Practice Location Address Fax Number:
360-814-6380
Provider Enumeration Date:
11/02/2006