| 62 Medical Group | |
|
690 Barnes Blvd Attn: Sghc Mcchord Afb WA 98438 | |
| (253) 982-9918 | |
| (253) 982-0283 |
| Full Name | 62 Medical Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 690 Barnes Blvd, Mcchord Afb, Washington |
| Authorized Official Name and Position | Tessie M Rios (CREDENTIALS MANAGER) |
| Authorized Official Contact | 2539829918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 62 Medical Group 690 Barnes Blvd Attn: Sghc Mcchord Afb WA 98438 Ph: (253) 982-9918 | 62 Medical Group 690 Barnes Blvd Attn: Sghc Mcchord Afb WA 98438 Ph: (253) 982-9918 |
| NPI Number | 1801837398 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801837398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |