| Vpa Pc Specialty Pha Wa | |
|
606 Oakesdale Ave Sw Ste C200 Renton WA 98057-5227 | |
| (866) 259-1629 | |
| (855) 666-8541 |
| Full Name | Vpa Pc Specialty Pha Wa |
|---|---|
| Speciality | Family Medicine |
| Location | 606 Oakesdale Ave Sw Ste C200, Renton, Washington |
| Authorized Official Name and Position | Jeffrey Stevens (OWNER) |
| Authorized Official Contact | 2488246600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vpa Pc Specialty Pha Wa 500 Kirts Blvd Ste 100 Troy MI 48084-4135 Ph: (248) 434-6169 | Vpa Pc Specialty Pha Wa 606 Oakesdale Ave Sw Ste C200 Renton WA 98057-5227 Ph: (866) 259-1629 |
| NPI Number | 1699392787 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699392787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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