| |
202 Cross St Se Auburn WA 98002-5406 | |
(253) 876-8111 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 202 Cross St Se, Auburn, Washington |
Authorized Official Name and Position | Vincent H Schmitz (CFO) |
Authorized Official Contact | 2534598000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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202 Cross St Se Auburn WA 98002-5406 Ph: (253) 876-8111 | 202 Cross St Se Auburn WA 98002-5406 Ph: (253) 876-8111 |
NPI Number | 1013969195 |
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Provider Enumeration Date | 05/16/2006 |
Last Update Date | 05/15/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013969195 | NPI | - | NPPES |
45941 | Other | WA | STATE L&I |
7070261 | Medicaid | WA |
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