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4008 W 27th Ave Suite 103 Kennewick WA 99337-2484 | |
(509) 942-2144 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 4008 W 27th Ave, Kennewick, Washington |
Authorized Official Name and Position | Donald Anderson (DIRECTOR REIMBURSEMENT ADMINISTRATI) |
Authorized Official Contact | 4255255392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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888 Swift Blvd Richland WA 99352-3514 Ph: () - | 4008 W 27th Ave Suite 103 Kennewick WA 99337-2484 Ph: (509) 942-2144 |
NPI Number | 1063967933 |
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Provider Enumeration Date | 08/22/2016 |
Last Update Date | 01/10/2019 |
Identifier | Type | State | Issuer |
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1063967933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Loren Stueckle O.d.,p.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 N Columbia Center Blvd, Suite 100, Kennewick, WA 99336 Phone: 509-783-2555 Fax: 509-783-0830 | |
Tri-cities Vision Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2720 S Quillan St, Vision Center, Kennewick, WA 99337 Phone: 509-585-8314 Fax: 509-585-9653 | |
H Matt Smith Md Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W 1st Ave, Kennewick, WA 99336 Phone: 509-585-5500 Fax: 509-585-4161 |