| Physicians Care Family Medicine Inc Ps | |
|
1990 Hospital Drive Suite 100 Sedro Woolley WA 98284-9315 | |
| (360) 856-4141 | |
| (360) 856-4145 |
| Full Name | Physicians Care Family Medicine Inc Ps |
|---|---|
| Speciality | Family Medicine |
| Location | 1990 Hospital Drive, Sedro Woolley, Washington |
| Authorized Official Name and Position | Herbert Edwin Stickle (ADMINSTRATOR) |
| Authorized Official Contact | 3608564141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Care Family Medicine Inc Ps 1990 Hospital Drive Suite 100 Sedro Woolley WA 98284-9315 Ph: (360) 856-4141 | Physicians Care Family Medicine Inc Ps 1990 Hospital Drive Suite 100 Sedro Woolley WA 98284-9315 Ph: (360) 856-4141 |
| NPI Number | 1396802492 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396802492 | NPI | - | NPPES |
| 7080559 | Medicaid | WA | |
| 47990 | Other | WA | LABOR & INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Washington) | Primary |
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