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NPI Code Detail

MEDICARE: DR. JOHN WHITING SISSON MD

MEDICARE: DR. JOHN WHITING SISSON MD
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
1207P00000XEmergency Medicine PhysicianMD-00047501WA

General Provider Information

NPI Number : 1386623791
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN WHITING SISSON MD
Provider Business Mailing Address
First Line : 8385 LEEWARD AVE NW
Second Line :
City : SEABECK
State : WA
Zip : 98380-8816
Country : US
Telephone Number : 971-232-0063
Fax Number :
Provider Business Practice Location Address
First Line : 939 CAROLINE ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-3997
Country : US
Telephone Number : 360-417-7000
Fax Number : 360-565-9241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2006
Last Update Date : 04/09/2024

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Directions to “ DR. JOHN WHITING SISSON MD” Practice Location

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