NPI 1255693909

Gary Rhett Andelin, DO

Practitioner Family Medicine Physician Stanwood, WA

Practice location

Address: 9631 - 269th Street NW, Stanwood, WA 98292
Phone: (360) 629-1600
Fax: (360) 629-1644
Mailing address: 1400 E Kincaid St Attn: Credentialing, Mount Vernon, WA 98274-4127

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence OP60546093 (WA)

Other Family Medicine providers in Washington →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence OP60546093 (WA)

Other Emergency Medicine providers in Washington →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 9461 (IA)

Registry record

NPI: 1255693909
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2012
Record last updated: 12 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.