| Concordia Star Medical Llc | |
|
118 7th Ave Sw Suite A Puyallup WA 98371-6803 | |
| (253) 579-0067 | |
| (253) 579-0068 |
| Full Name | Concordia Star Medical Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 118 7th Ave Sw, Puyallup, Washington |
| Authorized Official Name and Position | Ladie Christine Arana-domondon (OWNER - CEO) |
| Authorized Official Contact | 2532099009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concordia Star Medical Llc 118 7th Ave Sw Suite A Puyallup WA 98371-6803 Ph: (253) 579-0067 | Concordia Star Medical Llc 118 7th Ave Sw Suite A Puyallup WA 98371-6803 Ph: (253) 579-0067 |
| NPI Number | 1508134792 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 05/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508134792 | NPI | - | NPPES |
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