| Vital Family Medicine, Pllc | |
|
3513 Ne 45th St Ste 2 Seattle WA 98105-5665 | |
| (206) 518-8938 | |
| (206) 525-3273 |
| Full Name | Vital Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3513 Ne 45th St Ste 2, Seattle, Washington |
| Authorized Official Name and Position | Margie Ikeda (OWNER) |
| Authorized Official Contact | 2065188939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Family Medicine, Pllc 3513 Ne 45th St Ste 2 Seattle WA 98105-5665 Ph: (206) 518-8938 | Vital Family Medicine, Pllc 3513 Ne 45th St Ste 2 Seattle WA 98105-5665 Ph: (206) 518-8938 |
| NPI Number | 1083965792 |
|---|---|
| Provider Enumeration Date | 09/21/2012 |
| Last Update Date | 09/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083965792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 603118032 (Washington) | Primary |
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