| |
20200 54th Ave W Lynnwood WA 98036-6318 | |
(425) 672-6400 | |
(425) 672-6423 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 20200 54th Ave W, Lynnwood, Washington |
Authorized Official Name and Position | Kathy Beery (DIRECTOR) |
Authorized Official Contact | 2066301818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 34584 Seattle WA 98124-1584 Ph: (509) 241-7349 | 20200 54th Ave W Lynnwood WA 98036-6318 Ph: (425) 672-6400 |
NPI Number | 1568753531 |
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Provider Enumeration Date | 04/26/2011 |
Last Update Date | 06/22/2021 |
Identifier | Type | State | Issuer |
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1568753531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Vvmd Medical Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6508 196th St Sw, Lynnwood, WA 98036 Phone: 425-673-2572 Fax: 425-673-4131 | |
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