| |
6300 9th Ave Ne Suite 200 Seattle WA 98115-8515 | |
(206) 522-5646 | |
(206) 524-5054 |
Full Name | |
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Speciality | Family Medicine |
Location | 6300 9th Ave Ne, Seattle, Washington |
Authorized Official Name and Position | Fernando D Vega (OWNER) |
Authorized Official Contact | 2065225646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6300 9th Ave Ne Suite 200 Seattle WA 98115-8515 Ph: (206) 522-5646 | 6300 9th Ave Ne Suite 200 Seattle WA 98115-8515 Ph: (206) 522-5646 |
NPI Number | 1811041494 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 03/11/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811041494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00018929 (Washington) | Primary |
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