SHANNON ADAM BOUSTEAD

BELLINGHAM, WA
NPI1881883593
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD60099520)
Enumeration Date2007-10-18
Last Update Date2024-08-15
Business Address
SHANNON ADAM BOUSTEAD M.D.
4455 CORDATA PKWY
BELLINGHAM, WA 98226-8037
Phone number: 360-671-3225
Mailing Address
SHANNON ADAM BOUSTEAD M.D.
1401 MADISON ST
SEATTLE, WA 98104-1316
Phone number: 206-541-4431