| Avalon Clinic | |
|
6103 Mount Tacoma Dr Sw Lakewood WA 98499-2727 | |
| (253) 582-8486 | |
| (253) 582-2644 |
| Full Name | Avalon Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 6103 Mount Tacoma Dr Sw, Lakewood, Washington |
| Authorized Official Name and Position | David A Ekland (PLASTIC SURGEON) |
| Authorized Official Contact | 2535828486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Clinic 6103 Mount Tacoma Dr Sw Lakewood WA 98499-2727 Ph: (253) 582-8486 | Avalon Clinic 6103 Mount Tacoma Dr Sw Lakewood WA 98499-2727 Ph: (253) 582-8486 |
| NPI Number | 1255544540 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 03/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255544540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD00011944 (Washington) | Primary |
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