| Lourdes Riverview Medical Group | |
|
4403 W Court St Suite B Pasco WA 99301-2879 | |
| (509) 545-5358 | |
| Not Available |
| Full Name | Lourdes Riverview Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4403 W Court St, Pasco, Washington |
| Authorized Official Name and Position | John Serle (PRESIDENT & CEO) |
| Authorized Official Contact | 5095432483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lourdes Riverview Medical Group 4403 W Court St Suite B Pasco WA 99301-2879 Ph: (509) 545-6620 | Lourdes Riverview Medical Group 4403 W Court St Suite B Pasco WA 99301-2879 Ph: (509) 545-5358 |
| NPI Number | 1184708471 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 04/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184708471 | NPI | - | NPPES |
| 7093933 | Medicaid | WA |
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