HomeNPI Verification

NPI Verification

National Provider Identifier: 1255693909

Gary Rhett Andelin, DO

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (3)

Emergency Medicine

Code: 207P00000X

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

1400 E KINCAID ST

ATTN: CREDENTIALING

MOUNT VERNON, WA 982744127

Phone: 360-428-2500

NPI Enumeration Date

June 8, 2012

NPI Number

1255693909

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry