EZEKIEL DEREK ALEXANDER MELQUIST

SHELTON, WA
NPI1720320724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: WA  MD61191074)
Enumeration Date2013-03-18
Last Update Date2024-03-21
Business Address
Dr. EZEKIEL DEREK ALEXANDER MELQUIST MD
1701 N 13TH ST
SHELTON, WA 98584-2077
Phone number: 360-426-2653
Mailing Address
Dr. EZEKIEL DEREK ALEXANDER MELQUIST MD
2411 CRESTRIDGE DR NW
OLYMPIA, WA 98502-9706
Phone number: 347-677-4264
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