62 Medical Group | |
690 Barnes Blvd Attn: Sghc Mcchord Afb WA 98438 | |
(253) 982-9918 | |
(253) 982-0283 |
Full Name | 62 Medical Group |
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Speciality | Clinic/center - Primary Care |
Location | 690 Barnes Blvd, Mcchord Afb, Washington |
Authorized Official Name and Position | Tessie M Rios (CREDENTIALS MANAGER) |
Authorized Official Contact | 2539829918 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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62 Medical Group 690 Barnes Blvd Attn: Sghc Mcchord Afb WA 98438 Ph: (253) 982-9918 | 62 Medical Group 690 Barnes Blvd Attn: Sghc Mcchord Afb WA 98438 Ph: (253) 982-9918 |
NPI Number | 1801837398 |
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Provider Enumeration Date | 06/08/2006 |
Last Update Date | 06/13/2008 |
Identifier | Type | State | Issuer |
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1801837398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |