Internal Medicine Clinic Llc

NPI 1104064641 - Clinic/Center - 261QP2300X

NPI Details
NPI 1104064641
Enumeration Date 01/21/2009
Last Updated 01/21/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JASWANT G JASWANT
Position PHYSICIAN
Phone (253) 833-1735
Fax (253) 833-8515
Practice Location
202 AUBURN AVE
AUBURN WA, 98002-5015, US
Phone (253) 833-1735
Fax (253) 833-8515
Business Location
202 AUBURN AVE
AUBURN WA, 98002-5015, US
Phone (253) 833-1735
Fax (253) 833-8515
Toxanomy
Taxonomy Code 261QP2300X
License State Washington
License Number MD00048708
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According to our database, Internal Medicine Clinic Llc NPI is 1104064641, taxonomy code is 261QP2300X and license number is MD00048708, license state is located at Washington. Internal Medicine Clinic Llc physically located at 202 Auburn Ave, Auburn WA, 98002-5015. NPI Number 1033115704 has the healthcare provider type.

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1104064641 NPI number is provided on an as is basis without warranty of any kind. 1104064641 is maintained by the National Plan & Provider Enumeration System. The contents of Internal Medicine Clinic Llc are for informational purposes only.