| Auburn Internal Medicine | |
|
803 Main St E Aubun WA 98002 | |
| (253) 833-3650 | |
| Not Available |
| Full Name | Auburn Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 803 Main St E, Aubun, Washington |
| Authorized Official Name and Position | Jack Goldman (OWNER) |
| Authorized Official Contact | 2538333650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Auburn Internal Medicine 803 Main St E Aubun WA 98002 Ph: (253) 833-3650 | Auburn Internal Medicine 803 Main St E Aubun WA 98002 Ph: (253) 833-3650 |
| NPI Number | 1639218613 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639218613 | NPI | - | NPPES |
| 7054935 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00017877 (Washington) | Primary |