| Fasa Family Wellness Pllc | |
|
3929 Bridgeport Way W Ste 308 University Place WA 98466-4455 | |
| (253) 272-2999 | |
| (253) 272-4699 |
| Full Name | Fasa Family Wellness Pllc |
|---|---|
| Speciality | Podiatrist |
| Location | 3929 Bridgeport Way W Ste 308, University Place, Washington |
| Authorized Official Name and Position | Dana Eberhard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3607062767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fasa Family Wellness Pllc 1610 Bishop Rd Sw Ste 101 Tumwater WA 98512-7303 Ph: (360) 754-3338 | Fasa Family Wellness Pllc 3929 Bridgeport Way W Ste 308 University Place WA 98466-4455 Ph: (253) 272-2999 |
| NPI Number | 1285026443 |
|---|---|
| Provider Enumeration Date | 02/25/2015 |
| Last Update Date | 05/20/2021 |
| Medicare PECOS PAC ID | 7618290297 |
|---|---|
| Medicare Enrollment ID | O20150519002382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285026443 | NPI | - | NPPES |
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