Im&g Pllc | |
22000 Marine View Dr S Suite 100 Des Moines WA 98198-6233 | |
(206) 870-4460 | |
(206) 870-4770 |
Full Name | Im&g Pllc |
---|---|
Speciality | Internal Medicine - Geriatric Medicine |
Location | 22000 Marine View Dr S, Des Moines, Washington |
Authorized Official Name and Position | Michael V Pittier (SOLE OWNER) |
Authorized Official Contact | 2068704470 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Im&g Pllc Po Box 84511 Seattle WA 98124-5811 Ph: (206) 439-2988 | Im&g Pllc 22000 Marine View Dr S Suite 100 Des Moines WA 98198-6233 Ph: (206) 870-4460 |
NPI Number | 1790007144 |
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Provider Enumeration Date | 02/25/2010 |
Last Update Date | 02/25/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790007144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | MD00013480 (Washington) | Primary |
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