| Franciscan Medical Group | |
|
8412 Myers Rd E Ste 203 Bonney Lake WA 98391-5112 | |
| (253) 863-2587 | |
| (253) 863-2588 |
| Full Name | Franciscan Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 8412 Myers Rd E, Bonney Lake, Washington |
| Authorized Official Name and Position | Cliff A. Robertson (PRESIDENT/ CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2537796101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Franciscan Medical Group 8412 Myers Rd E Ste 203 Bonney Lake WA 98391-5112 Ph: (253) 863-2587 | Franciscan Medical Group 8412 Myers Rd E Ste 203 Bonney Lake WA 98391-5112 Ph: (253) 863-2587 |
| NPI Number | 1841483450 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 02/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841483450 | NPI | - | NPPES |
| 7139181 | Medicaid | WA | |
| 0224335 | Other | WA | STATE L&I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Washington) | Primary |
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