| Img Wa Llc | |
|
300 Deschutes Way Sw Ste 304 Tumwater WA 98501-7719 | |
| (800) 564-1303 | |
| Not Available |
| Full Name | Img Wa Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Deschutes Way Sw Ste 304, Tumwater, Washington |
| Authorized Official Name and Position | Tim Mcmenamin (MANAGER) |
| Authorized Official Contact | 8005641303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Img Wa Llc 300 Deschutes Way Sw Ste 304 Tumwater WA 98501-7719 Ph: (800) 564-1303 | Img Wa Llc 300 Deschutes Way Sw Ste 304 Tumwater WA 98501-7719 Ph: (800) 564-1303 |
| NPI Number | 1780108027 |
|---|---|
| Provider Enumeration Date | 07/28/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780108027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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