Spry Clinic | |
309 2nd St Se Auburn WA 98002-5543 | |
(206) 400-7077 | |
Not Available |
Full Name | Spry Clinic |
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Speciality | Clinic/Center |
Location | 309 2nd St Se, Auburn, Washington |
Authorized Official Name and Position | Ryan Daniel Bias (PRESIDENT) |
Authorized Official Contact | 7142235920 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Spry Clinic 5431 N Peppard Ave Meridian ID 83646-6684 Ph: (951) 741-7023 | Spry Clinic 309 2nd St Se Auburn WA 98002-5543 Ph: (206) 400-7077 |
NPI Number | 1447953161 |
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Provider Enumeration Date | 03/22/2023 |
Last Update Date | 06/22/2023 |
Medicare PECOS PAC ID | 5890156327 |
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Medicare Enrollment ID | O20230801001690 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447953161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Liana P Au |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942474333 PECOS PAC ID: 4284772112 Enrollment ID: I20231011001889 |
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