| Matthew White Md Ps | |
|
5920 100th St Sw Ste 30 Lakewood WA 98499-2751 | |
| (253) 584-1700 | |
| (253) 581-1740 |
| Full Name | Matthew White Md Ps |
|---|---|
| Speciality | Family Medicine |
| Location | 5920 100th St Sw Ste 30, Lakewood, Washington |
| Authorized Official Name and Position | Matthew White (OWNER) |
| Authorized Official Contact | 2535841700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew White Md Ps 5920 100th St Sw Ste 30 Lakewood WA 98499-2751 Ph: (253) 584-1700 | Matthew White Md Ps 5920 100th St Sw Ste 30 Lakewood WA 98499-2751 Ph: (253) 584-1700 |
| NPI Number | 1275713299 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 04/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275713299 | NPI | - | NPPES |
| 7107741 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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