| |
101 E Main St Ste 209 Monroe WA 98272-1519 | |
(360) 949-7555 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Health Service |
Location | 101 E Main St Ste 209, Monroe, Washington |
Authorized Official Name and Position | John Palmer Lovejoy (PHYSICIAN) |
Authorized Official Contact | 3609497555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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40016 145th Pl Se Gold Bar WA 98251-9471 Ph: (707) 239-6190 | 101 E Main St Ste 209 Monroe WA 98272-1519 Ph: (360) 949-7555 |
NPI Number | 1689386807 |
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Provider Enumeration Date | 12/19/2022 |
Last Update Date | 12/23/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689386807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
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