| Warren Physician Services | |
|
5420 22nd Ave Se Lacey WA 98503-2804 | |
| (360) 491-5055 | |
| Not Available |
| Full Name | Warren Physician Services |
|---|---|
| Speciality | Family Medicine |
| Location | 5420 22nd Ave Se, Lacey, Washington |
| Authorized Official Name and Position | Craig M Warren (OWNER) |
| Authorized Official Contact | 3607049116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren Physician Services 1401 Marvin Rd Ne Ste 307 Pmb 266 Lacey WA 98516-5749 Ph: (360) 491-5055 | Warren Physician Services 5420 22nd Ave Se Lacey WA 98503-2804 Ph: (360) 491-5055 |
| NPI Number | 1710219522 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 05/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710219522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Washington) | Primary |
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