| Qliance Medical Group Of Wa | |
|
521 2nd Pl N Suite 103 Kent WA 98032-4537 | |
| (253) 478-4900 | |
| (253) 478-4810 |
| Full Name | Qliance Medical Group Of Wa |
|---|---|
| Speciality | Family Medicine |
| Location | 521 2nd Pl N, Kent, Washington |
| Authorized Official Name and Position | Garrison Bliss (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2063813030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qliance Medical Group Of Wa 999 3rd Ave Suite 810 Seattle WA 98104-4019 Ph: (206) 381-3030 | Qliance Medical Group Of Wa 521 2nd Pl N Suite 103 Kent WA 98032-4537 Ph: (253) 478-4900 |
| NPI Number | 1508182692 |
|---|---|
| Provider Enumeration Date | 04/14/2010 |
| Last Update Date | 04/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508182692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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