| Stanley D Borish Md Inc Ps | |
|
19526 64th Ave W Lynnwood WA 98036-5100 | |
| (425) 774-1685 | |
| (425) 670-0713 |
| Full Name | Stanley D Borish Md Inc Ps |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 19526 64th Ave W, Lynnwood, Washington |
| Authorized Official Name and Position | Stanley D Borish (PHYSICIAN, CEO) |
| Authorized Official Contact | 4257741685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley D Borish Md Inc Ps 19526 64th Ave W Lynnwood WA 98036-5100 Ph: (425) 774-1685 | Stanley D Borish Md Inc Ps 19526 64th Ave W Lynnwood WA 98036-5100 Ph: (425) 774-1685 |
| NPI Number | 1740502731 |
|---|---|
| Provider Enumeration Date | 02/18/2010 |
| Last Update Date | 03/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740502731 | NPI | - | NPPES |
| R59249 | Other | WA | REGENCE BLUE SHIELD |
| 1022177 | Medicaid | WA | |
| 1200936 | Other | WA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD00015305 (Washington) | Primary |
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