| |
2152 N 122nd St Seattle WA 98133-8524 | |
(206) 363-4105 | |
(206) 363-1723 |
Full Name | |
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Speciality | Family Medicine |
Location | 2152 N 122nd St, Seattle, Washington |
Authorized Official Name and Position | Steven Creelman (MEDICAL DIRECTOR) |
Authorized Official Contact | 2063549533 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2150 N 122nd St Seattle WA 98133-8524 Ph: (206) 363-4105 | 2152 N 122nd St Seattle WA 98133-8524 Ph: (206) 363-4105 |
NPI Number | 1568860849 |
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Provider Enumeration Date | 12/18/2014 |
Last Update Date | 08/01/2024 |
Identifier | Type | State | Issuer |
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1568860849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | MD00024784 (Washington) | Primary |
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