| Brookdale Medical Associates Inc | |
|
205 117th St S Tacoma WA 98444-5409 | |
| (253) 535-5552 | |
| (253) 535-5684 |
| Full Name | Brookdale Medical Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 205 117th St S, Tacoma, Washington |
| Authorized Official Name and Position | Chong C Kim (OWNER) |
| Authorized Official Contact | 2535355552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookdale Medical Associates Inc 205 117th St S Tacoma WA 98444-5409 Ph: (253) 535-5552 | Brookdale Medical Associates Inc 205 117th St S Tacoma WA 98444-5409 Ph: (253) 535-5552 |
| NPI Number | 1073780532 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 08/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073780532 | NPI | - | NPPES |
| 1084490 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00031125 (Washington) | Primary |
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Multicare Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 | |
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