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Contact Information

AMY B DETTORI, MD
3475 N SARATOGA ST
BLDG 993
OAK HARBOR, WA98278-8800
 Phone: 360-257-9406
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Aerospace Medicine

2083A0100X 84 Physician/Preventive Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for AMY B DETTORI · (Female)

NPI Number 1174751325
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2009
Last updated 06/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01068606A
  • WA License # MD61153930
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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