Ian Bojorquez Gillingham, MD | |
10510 Gravelly Lake Dr Sw, Lakewood, WA 98499-5036 | |
(253) 589-7030 | |
Not Available |
Full Name | Ian Bojorquez Gillingham |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 10510 Gravelly Lake Dr Sw, Lakewood, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427555093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD61144821 (Washington) | Primary |
207Q00000X | Family Medicine | ML60979765 (Washington) | Secondary |
Entity Name | Community Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790762755 PECOS PAC ID: 1850201559 Enrollment ID: O20040213000045 |
Mailing Address | Practice Location Address |
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Ian Bojorquez Gillingham, MD 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499-5036 Ph: (253) 589-7030 | Ian Bojorquez Gillingham, MD 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499-5036 Ph: (253) 589-7030 |
Kristy A Walton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 100th St Sw Ste 510, Lakewood Clinic, Lakewood, WA 98499 Phone: 253-459-6060 Fax: 253-459-6064 | |
Dr. Yilei Gu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11307 Bridgeport Way Sw Ste 200, Lakewood, WA 98499 Phone: 253-985-6688 Fax: 253-922-5299 | |
Constance Blair Campbell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Frida Rineth Pena Benitez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Dr. Lynn Fioretti, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 10510 Gravelly Lake Drive, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Scott Anthony Trapman, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8511 S Tacoma Way # 200, Lakewood, WA 98499 Phone: 253-588-4015 Fax: 253-588-4035 | |
John Richard Coe, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4901 108th St Sw, Lakewood, WA 98499 Phone: 253-589-6484 Fax: 253-984-1079 |