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1942273917
CHARLES M WEATHERBY
TACOMA, WA
NPI
1942273917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00019117)
Enumeration Date
2006-02-09
Last Update Date
2021-04-16
Business Address
CHARLES M WEATHERBY MD
1812 S J ST STE 102
TACOMA, WA 98405-4965
Phone number: 253-552-4900
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Mailing Address
CHARLES M WEATHERBY MD
1145 BROADWAY FL 2
SEATTLE, WA 98122-4201
Phone number: 206-860-5414
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