| Avalon Clinic | |
|
9315 Gravelly Lake Dr Sw Suite 103 Lakewood WA 98499-1574 | |
| (253) 582-8486 | |
| (253) 582-2644 |
| Full Name | Avalon Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 9315 Gravelly Lake Dr Sw, Lakewood, Washington |
| Authorized Official Name and Position | Myles Goldflies (PLASTIC SURGEON) |
| Authorized Official Contact | 2535828486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Clinic 9315 Gravelly Lake Dr Sw Suite 103 Lakewood WA 98499-1574 Ph: (253) 582-8486 | Avalon Clinic 9315 Gravelly Lake Dr Sw Suite 103 Lakewood WA 98499-1574 Ph: (253) 582-8486 |
| NPI Number | 1073726360 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073726360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD00046009 (Washington) | Primary |
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