Provider Demographics
NPI:1538114491
Name:DABNEY, SUE A (MD)
Entity Type:Individual
Prefix:DR
First Name:SUE
Middle Name:A
Last Name:DABNEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:709 W ORCHARD DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1766
Mailing Address - Country:US
Mailing Address - Phone:360-318-8800
Mailing Address - Fax:360-318-1085
Practice Address - Street 1:2075 BARKLEY BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6614
Practice Address - Country:US
Practice Address - Phone:360-671-3345
Practice Address - Fax:360-650-1354
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2012-07-24
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Provider Licenses
StateLicense IDTaxonomies
WAMD00045408207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA3966DAOtherREGENCE
WA8453292Medicaid
WAG8860598Medicare PIN
WAI55194Medicare UPIN