Bird's Eye Medical | |
2915 29th Ave Sw Ste A Tumwater WA 98512-6183 | |
(360) 818-9592 | |
(360) 688-7015 |
Full Name | Bird's Eye Medical |
---|---|
Speciality | Internal Medicine |
Location | 2915 29th Ave Sw Ste A, Tumwater, Washington |
Authorized Official Name and Position | Paul D Bunge (CEO, MD) |
Authorized Official Contact | 3605566581 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bird's Eye Medical 2915 29th Ave Sw Ste A Tumwater WA 98512-6183 Ph: (360) 556-6581 | Bird's Eye Medical 2915 29th Ave Sw Ste A Tumwater WA 98512-6183 Ph: (360) 818-9592 |
NPI Number | 1174100093 |
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Provider Enumeration Date | 03/26/2021 |
Last Update Date | 03/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174100093 | NPI | - | NPPES |
8396616 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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