Dr Betsy Enid Burgos Diaz, CHIRCH61363606 | |
204 Pinehurst Dr Sw Ste 103, Tumwater, WA 98501-4500 | |
(360) 352-8112 | |
Not Available |
Full Name | Dr Betsy Enid Burgos Diaz |
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Gender | Female |
Speciality | Chiropractor |
Location | 204 Pinehurst Dr Sw Ste 103, Tumwater, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992416044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CHIR.CH.61363606 (Washington) | Primary |
Provider Name | Ronald Wilcox, Dc Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083952915 PECOS PAC ID: 5890931067 Enrollment ID: O20130412000132 |
Mailing Address | Practice Location Address |
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Dr Betsy Enid Burgos Diaz, CHIRCH61363606 1534 Vista Loop Sw Apt 32-102, Tumwater, WA 98512-0472 Ph: (507) 589-5406 | Dr Betsy Enid Burgos Diaz, CHIRCH61363606 204 Pinehurst Dr Sw Ste 103, Tumwater, WA 98501-4500 Ph: (360) 352-8112 |
Dr. Ronald Dale Wilcox, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 204 Pinehurst Dr Sw, Suite 103, Tumwater, WA 98501 Phone: 360-352-8112 Fax: 360-352-8113 | |
Clotilde Jeanne Schmidt, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 310 Cleveland Ave Se, Tumwater, WA 98501 Phone: 360-943-6015 Fax: 360-943-2807 | |
Dr. Ronnie Lee Douglas, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 204 Erie St Se, Tumwater, WA 98501 Phone: 360-943-2285 Fax: 360-943-3085 | |
Dr. Terry E. Swartling, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 121 Cleveland Ave Se, Tumwater, WA 98501 Phone: 360-754-8418 Fax: 360-754-0060 | |
Chris Juergens Dc Chiropractor Medicare: Medicare Enrolled Practice Location: 100 Ruby St Se Ste F, Tumwater, WA 98501 Phone: 360-943-4797 Fax: 360-709-0542 | |
Dr. Olivia Rose Tanasse, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 344 Cleveland Ave Se Ste D, Tumwater, WA 98501 Phone: 360-357-5170 Fax: 360-357-5173 | |
Lowery Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 200 W St Se Ste A, Tumwater, WA 98501 Phone: 360-786-8600 |