| Victory Diabetes And Primary Clinic | |
|
1430 16th Ave Longview WA 98632-2901 | |
| (253) 331-2381 | |
| (253) 201-6070 |
| Full Name | Victory Diabetes And Primary Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1430 16th Ave, Longview, Washington |
| Authorized Official Name and Position | Gerard Sebastian (OWNER) |
| Authorized Official Contact | 3045512496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Diabetes And Primary Clinic 1430 16th Ave Longview WA 98632-2901 Ph: (360) 857-0451 | Victory Diabetes And Primary Clinic 1430 16th Ave Longview WA 98632-2901 Ph: (253) 331-2381 |
| NPI Number | 1467220871 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467220871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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