Rafael Medicus Clinic, Corp. | |
7424 Bridgeport Way West Suite 301 Lakewood WA 98499-8135 | |
(253) 474-5141 | |
(253) 474-5507 |
Full Name | Rafael Medicus Clinic, Corp. |
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Speciality | Family Medicine |
Location | 7424 Bridgeport Way West, Lakewood, Washington |
Authorized Official Name and Position | Glenn Noel Padilla Ruiz (PRESIDENT) |
Authorized Official Contact | 2534745141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rafael Medicus Clinic, Corp. 7424 Bridgeport Way West Suite 301 Lakewood WA 98499-8135 Ph: (253) 474-5141 | Rafael Medicus Clinic, Corp. 7424 Bridgeport Way West Suite 301 Lakewood WA 98499-8135 Ph: (253) 474-5141 |
NPI Number | 1558718684 |
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Provider Enumeration Date | 05/18/2016 |
Last Update Date | 05/18/2016 |
Identifier | Type | State | Issuer |
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1558718684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00024942 (Washington) | Primary |
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