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10564 5th Ave Ne Ste 103 Seattle WA 98125 | |
(206) 399-1434 | |
(855) 750-7844 |
Full Name | |
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Speciality | Family Medicine |
Location | 10564 5th Ave Ne Ste 103, Seattle, Washington |
Authorized Official Name and Position | Roger S Neumaier (OWNER) |
Authorized Official Contact | 4254222813 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 415 Edmonds WA 98020-0415 Ph: (425) 422-2813 | 10564 5th Ave Ne Ste 103 Seattle WA 98125 Ph: (206) 399-1434 |
NPI Number | 1639685811 |
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Provider Enumeration Date | 12/24/2017 |
Last Update Date | 03/05/2019 |
Identifier | Type | State | Issuer |
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1639685811 | NPI | - | NPPES |
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