| Robert E Suchert Do Ps | |
|
617 5th Ave S Edmonds WA 98020 | |
| (425) 774-5113 | |
| (425) 774-5114 |
| Full Name | Robert E Suchert Do Ps |
|---|---|
| Speciality | Family Medicine |
| Location | 617 5th Ave S, Edmonds, Washington |
| Authorized Official Name and Position | Robert E Suchert (PRESIDENT OWNER) |
| Authorized Official Contact | 4257745113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Suchert Do Ps Po Box 2003 Edmonds WA 98020 Ph: (425) 774-5113 | Robert E Suchert Do Ps 617 5th Ave S Edmonds WA 98020 Ph: (425) 774-5113 |
| NPI Number | 1205014388 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 01/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205014388 | NPI | - | NPPES |
| 040601 | Other | WA | L AND I |
| 1856202 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00000563 (Washington) | Primary |
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