| |
4215 49th Ave Ne Tacoma WA 98422-2421 | |
(253) 459-7700 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 4215 49th Ave Ne, Tacoma, 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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4215 49th Ave Ne Tacoma WA 98422-2421 Ph: (253) 459-7700 | 4215 49th Ave Ne Tacoma WA 98422-2421 Ph: (253) 459-7700 |
NPI Number | 1407808587 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 05/15/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407808587 | NPI | - | NPPES |
7069677 | Medicaid | WA | |
45941 | Other | WA | STATE L&I |
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