| |
602 N Colorado St Suite D Kennewick WA 99336-7825 | |
(509) 735-8600 | |
(509) 783-7354 |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 602 N Colorado St, Kennewick, Washington |
Authorized Official Name and Position | Peter Donald Maher (OWNER) |
Authorized Official Contact | 5097358600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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602 N Colorado St Suite D Kennewick WA 99336-7825 Ph: (509) 735-8600 | 602 N Colorado St Suite D Kennewick WA 99336-7825 Ph: (509) 735-8600 |
NPI Number | 1104910538 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 12/17/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104910538 | NPI | - | NPPES |
1111962 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | MD00035465 (Washington) | Primary |
Loren Stueckle O.d.,p.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 N Columbia Center Blvd, Suite 100, Kennewick, WA 99336 Phone: 509-783-2555 Fax: 509-783-0830 | |
Tri-cities Vision Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2720 S Quillan St, Vision Center, Kennewick, WA 99337 Phone: 509-585-8314 Fax: 509-585-9653 | |
H Matt Smith Md Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W 1st Ave, Kennewick, WA 99336 Phone: 509-585-5500 Fax: 509-585-4161 |