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NPI Code Detail

MEDICARE: JOHN GADBOIS

MEDICARE: JOHN GADBOIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPH00041348WA

General Provider Information

NPI Number : 1124341862
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN GADBOIS
Provider Business Mailing Address
First Line : 710 N 89TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98103-3806
Country : US
Telephone Number : 206-706-3053
Fax Number :
Provider Business Practice Location Address
First Line : 8701 GREENWOOD AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-3615
Country : US
Telephone Number : 206-706-9140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2010
Last Update Date : 03/09/2010

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Directions to “ JOHN GADBOIS ” Practice Location

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