| Auburn Regional Medical Group | |
|
21220 Sr 410 E Bonney Lake WA 98391-8458 | |
| (253) 447-4770 | |
| (253) 447-4771 |
| Full Name | Auburn Regional Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 21220 Sr 410 E, Bonney Lake, Washington |
| Authorized Official Name and Position | Steve Patonai (CEO) |
| Authorized Official Contact | 2534474770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Auburn Regional Medical Group Po Box 399 Auburn WA 98071-0399 Ph: (253) 447-4770 | Auburn Regional Medical Group 21220 Sr 410 E Bonney Lake WA 98391-8458 Ph: (253) 447-4770 |
| NPI Number | 1255664827 |
|---|---|
| Provider Enumeration Date | 09/14/2009 |
| Last Update Date | 04/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255664827 | NPI | - | NPPES |
| 7147549 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
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