| Yakima Surgical Associates, Pllc | |
|
111 S 11th Ave Suite 223 Yakima WA 98902-3242 | |
| (509) 248-6080 | |
| (509) 248-9964 |
| Full Name | Yakima Surgical Associates, Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 111 S 11th Ave, Yakima, Washington |
| Authorized Official Name and Position | John K Boucher (PHYSICIAN) |
| Authorized Official Contact | 5092486080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yakima Surgical Associates, Pllc Po Box 2947 Yakima WA 98907-2947 Ph: (509) 248-7849 | Yakima Surgical Associates, Pllc 111 S 11th Ave Suite 223 Yakima WA 98902-3242 Ph: (509) 248-6080 |
| NPI Number | 1366471534 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 11/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366471534 | NPI | - | NPPES |
| 7080187 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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