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34503 9th Ave S Suite 100 Federal Way WA 98003-8727 | |
| (253) 874-2227 | |
| (253) 835-8035 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 34503 9th Ave S, Federal Way, Washington |
| Authorized Official Name and Position | Stephen Spare (PRESIDENT AND CMO) |
| Authorized Official Contact | 2537924344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
34503 9th Ave S Suite 100 Federal Way WA 98003-8727 Ph: (253) 874-2227 | 34503 9th Ave S Suite 100 Federal Way WA 98003-8727 Ph: (253) 874-2227 |
| NPI Number | 1861748675 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 07/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861748675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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