| Soap Lake Family Medicine | |
|
127 2nd Ave Sw Soap Lake WA 98851-0958 | |
| (509) 246-0540 | |
| (509) 246-0358 |
| Full Name | Soap Lake Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 127 2nd Ave Sw, Soap Lake, Washington |
| Authorized Official Name and Position | John Thomas Bearup (PARTNER) |
| Authorized Official Contact | 5092460540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soap Lake Family Medicine 127 2nd Ave Sw Soap Lake WA 98851-0958 Ph: (509) 246-0540 | Soap Lake Family Medicine 127 2nd Ave Sw Soap Lake WA 98851-0958 Ph: (509) 246-0540 |
| NPI Number | 1104013556 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104013556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | PA10001768 (Washington) | Primary |
Mansfield Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 West Highway 28, Soap Lake, WA 98851 Phone: 509-888-9606 Fax: 509-246-8001 |