Plateau Family Medicine, Ps

NPI 1033222146 - Family Medicine - 207Q00000X

NPI Details
NPI 1033222146
Enumeration Date 08/16/2006
Last Updated 07/22/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DEIDRE L DEIDRE
Position OWNER
Phone (360) 825-8300
Fax (360) 825-9255
Practice Location
853 WATSON ST N STE 200
ENUMCLAW WA, 98022-9348, US
Phone (360) 825-8300
Fax (360) 825-9255
Business Location
853 WATSON ST N STE 200
ENUMCLAW WA, 98022-9348, US
Phone (360) 825-8300
Fax (360) 825-9255
Toxanomy
Taxonomy Code 207Q00000X
License State Washington
License Number 602444776
Remove 1033222146 NPI Number
 

According to our database, Plateau Family Medicine, Ps NPI is 1033222146, taxonomy code is 207Q00000X and license number is 602444776, license state is located at Washington. Plateau Family Medicine, Ps physically located at 853 Watson St N Ste 200, Enumclaw WA, 98022-9348. NPI Number 1033115704 has the healthcare provider type.

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1033222146 NPI number is provided on an as is basis without warranty of any kind. 1033222146 is maintained by the National Plan & Provider Enumeration System. The contents of Plateau Family Medicine, Ps are for informational purposes only.