| |
2011 Nw Myhre Pl Silverdale WA 98383-8561 | |
(360) 830-1600 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 2011 Nw Myhre Pl, Silverdale, Washington |
Authorized Official Name and Position | Mike Fitzgerald (COO) |
Authorized Official Contact | 2536804005 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2011 Nw Myhre Pl Silverdale WA 98383-8561 Ph: (360) 830-1600 | 2011 Nw Myhre Pl Silverdale WA 98383-8561 Ph: (360) 830-1600 |
NPI Number | 1710432612 |
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Provider Enumeration Date | 08/20/2016 |
Last Update Date | 08/20/2016 |
Medicare PECOS PAC ID | 0547173866 |
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Medicare Enrollment ID | O20170106001860 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710432612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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