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Family Medicine Physician

NPI: 1780429167Organization

Specialties, Licenses & Credentials

Clinic/Center

Code: 261Q00000X

Primary Care Clinic/Center

Clinic/Center — Primary Care

Code: 261QP2300X

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

Contact & Hours

Address: 21509 STATE ROUTE 410 E STE 1A
BONNEY LAKE, WA 98391
Phone: (253) 891-2160

Quick Facts

NPI: 1780429167
Entity Type: Organization
Medicare: Not confirmed
Specialties: 3
Locations: 1

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