Prudencio G Tible Md Pc

NPI 1053417675 - Clinic/Center - 261Q00000X

NPI Details
NPI 1053417675
Enumeration Date 09/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PRUDENCIO GALVEZ PRUDENCIO
Position PRESIDENT
Phone (206) 725-8043
Fax (206) 760-1359
Practice Location
5023 S BARTON PLACE
SEATTLE WA, 98118, US
Phone (206) 725-8043
Fax (206) 760-1359
Business Location
PO BOX 18936
SEATTLE WA, 98118, US
Phone (206) 725-8043
Fax (206) 760-1359
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Prudencio G Tible Md Pc NPI is 1053417675, taxonomy code is 261Q00000X Prudencio G Tible Md Pc physically located at 5023 S Barton Place, Seattle WA, 98118. NPI Number 1033115704 has the healthcare provider type.

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1053417675 NPI number is provided on an as is basis without warranty of any kind. 1053417675 is maintained by the National Plan & Provider Enumeration System. The contents of Prudencio G Tible Md Pc are for informational purposes only.