Most Relevant Information
Provider Data
| NPI Number: | 1003823147 |
| Provider Name: | MARY BETH VANBRONKHORST PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA10002907 |
Most Important Dates
| Enumeration Date: | 08/02/2006 |
| Last Updated: | 08/20/2013 |
Provider Practice Location
407 E MAIN ST
EVERSON
WA
982479525
Practice Location Phone/Fax
| Phone: | 3609663441 |
| Fax: | 3609660969 |
Provider Mailing Location
709 W ORCHARD DR
SUITE #4
BELLINGHAM
WA
982251766
Provider Mailing Phone/Fax
| Phone: | 3603188800 |
| Fax: | 3603181085 |