Avalon Clinic

NPI 1073726360 - Clinic/Center - 261Q00000X

NPI Details
NPI 1073726360
Enumeration Date 05/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MYLES MYLES
Position PLASTIC SURGEON
Phone (253) 582-8486
Fax (253) 582-2644
Practice Location
9315 GRAVELLY LAKE DR SW
SUITE 103
LAKEWOOD WA, 98499-1574, US
Phone (253) 582-8486
Fax (253) 582-2644
Business Location
9315 GRAVELLY LAKE DR SW
SUITE 103
LAKEWOOD WA, 98499-1574, US
Phone (253) 582-8486
Fax (253) 582-2644
Toxanomy
Taxonomy Code 261Q00000X
License State Washington
License Number MD00046009
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According to our database, Avalon Clinic NPI is 1073726360, taxonomy code is 261Q00000X and license number is MD00046009, license state is located at Washington. Avalon Clinic physically located at 9315 Gravelly Lake Dr Sw, Lakewood WA, 98499-1574. NPI Number 1033115704 has the healthcare provider type.

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1073726360 NPI number is provided on an as is basis without warranty of any kind. 1073726360 is maintained by the National Plan & Provider Enumeration System. The contents of Avalon Clinic are for informational purposes only.