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NPI Code Detail

MEDICARE: DR. NATHANAEL WARD CARDON DO

MEDICARE: DR. NATHANAEL WARD CARDON DO
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
12084P0800XPsychiatry PhysicianOP60248624WA

General Provider Information

NPI Number : 1861606360
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHANAEL WARD CARDON DO
Provider Business Mailing Address
First Line : PO BOX 1318
Second Line :
City : ANACORTES
State : WA
Zip : 98221-6318
Country : US
Telephone Number : 360-755-3474
Fax Number : 877-241-4344
Provider Business Practice Location Address
First Line : 601 O AVE
Second Line :
City : ANACORTES
State : WA
Zip : 98221-1753
Country : US
Telephone Number : 360-755-3474
Fax Number : 877-241-4344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 12/29/2023

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