| Marina Medical | |
|
22236 7th Ave S Des Moines WA 98198-6220 | |
| (206) 878-8600 | |
| (206) 878-4001 |
| Full Name | Marina Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 22236 7th Ave S, Des Moines, Washington |
| Authorized Official Name and Position | Michael C Brown (OWNER) |
| Authorized Official Contact | 2068788600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Medical 22236 7th Ave S Des Moines WA 98198-6220 Ph: (206) 878-8600 | Marina Medical 22236 7th Ave S Des Moines WA 98198-6220 Ph: (206) 878-8600 |
| NPI Number | 1487850590 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 10/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487850590 | NPI | - | NPPES |
| 5607MA | Other | WA | WA BLUE SHEILD |
| DD4023 | Other | WA | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (NU) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (NU) | Secondary |
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