Express Urgent Care

NPI 1063617967 - Point of Service - 305S00000X

NPI Details
NPI 1063617967
Enumeration Date 06/19/2007
Last Updated 06/30/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ERIC DANIEL ERIC
Position PHYSICIAN
Phone (360) 923-1111
Fax (360) 455-8677
Practice Location
130 MARVIN RD SE STE 112
LACEY WA, 98503-6101, US
Phone (360) 923-1111
Fax (360) 455-8677
Business Location
130 MARVIN RD SE STE 112
LACEY WA, 98503-6101, US
Phone (360) 923-1111
Fax (360) 455-8677
Toxanomy
Taxonomy Code 305S00000X
License State Washington
License Number OP00001758
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According to our database, Express Urgent Care NPI is 1063617967, taxonomy code is 305S00000X and license number is OP00001758, license state is located at Washington. Express Urgent Care physically located at 130 Marvin Rd Se Ste 112, Lacey WA, 98503-6101. NPI Number 1033115704 has the healthcare provider type.

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1063617967 NPI number is provided on an as is basis without warranty of any kind. 1063617967 is maintained by the National Plan & Provider Enumeration System. The contents of Express Urgent Care are for informational purposes only.