| Blanco Family Medicine, Pllc | |
|
436 Mcphee Rd Sw Olympia WA 98502-5014 | |
| (360) 352-7779 | |
| Not Available |
| Full Name | Blanco Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 436 Mcphee Rd Sw, Olympia, Washington |
| Authorized Official Name and Position | Vivian Blanco (MEMBER) |
| Authorized Official Contact | 3603527779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blanco Family Medicine, Pllc 436 Mcphee Rd Sw Olympia WA 98502-5014 Ph: () - | Blanco Family Medicine, Pllc 436 Mcphee Rd Sw Olympia WA 98502-5014 Ph: (360) 352-7779 |
| NPI Number | 1588846091 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 11/27/2007 |
| Medicare PECOS PAC ID | 1759374226 |
|---|---|
| Medicare Enrollment ID | O20040408000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588846091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 025209 MD00036490 (Washington) | Primary |
| Provider Name | Vivian L Blanco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124112073 PECOS PAC ID: 1557354024 Enrollment ID: I20051005001250 |
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