| Fox West Medical Ltd | |
|
101 2nd St Ne Auburn WA 98002-4902 | |
| (253) 709-8643 | |
| Not Available |
| Full Name | Fox West Medical Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 101 2nd St Ne, Auburn, Washington |
| Authorized Official Name and Position | Laurence Scott Fox (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2537098643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox West Medical Ltd 1911 Sw Campus Dr # 435 Federal Way WA 98023-6473 Ph: (253) 709-8643 | Fox West Medical Ltd 101 2nd St Ne Auburn WA 98002-4902 Ph: (253) 709-8643 |
| NPI Number | 1386297505 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 07/17/2019 |
| Medicare PECOS PAC ID | 9234469073 |
|---|---|
| Medicare Enrollment ID | O20190923000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386297505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Laurence S Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821007410 PECOS PAC ID: 6507808771 Enrollment ID: I20050527000056 |
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