| |
720 8th Ave S Ste 100 Seattle WA 98104-3032 | |
(206) 788-3700 | |
(206) 788-3706 |
Full Name | |
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Speciality | Family Medicine |
Location | 720 8th Ave S, Seattle, Washington |
Authorized Official Name and Position | Peggy Phung (ASSISTANT FINANCE MANAGER) |
Authorized Official Contact | 2067883605 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 24911 Seattle WA 98124-0911 Ph: (206) 788-3600 | 720 8th Ave S Ste 100 Seattle WA 98104-3032 Ph: (206) 788-3700 |
NPI Number | 1376667907 |
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Provider Enumeration Date | 03/19/2007 |
Last Update Date | 12/20/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376667907 | NPI | - | NPPES |
7900012 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Washington) | Primary |
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