Heritage Family Medicine

NPI 1427136977 - Family Medicine - 207Q00000X

NPI Details
NPI 1427136977
Enumeration Date 11/01/2006
Last Updated 02/12/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD LOUIS RICHARD
Position OWNER
Phone (360) 704-2362
Fax (360) 350-1445
Practice Location
4001 HARRISON AVE NW
OLYMPIA WA, 98502-5084, US
Phone (360) 704-2362
Fax (360) 350-1445
Business Location
4001 HARRISON AVE NW
OLYMPIA WA, 98502-5084, US
Phone (360) 704-2362
Fax (360) 350-1445
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Heritage Family Medicine NPI is 1427136977, taxonomy code is 207Q00000X Heritage Family Medicine physically located at 4001 Harrison Ave Nw, Olympia WA, 98502-5084. NPI Number 1033115704 has the healthcare provider type.

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1427136977 NPI number is provided on an as is basis without warranty of any kind. 1427136977 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Family Medicine are for informational purposes only.