| Monroe Family Medicine, Llc | |
|
375 Butler Street Monroe WA 98272 | |
| (425) 772-8237 | |
| Not Available |
| Full Name | Monroe Family Medicine, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 375 Butler Street, Monroe, Washington |
| Authorized Official Name and Position | David Antonio Becerril (OWNER) |
| Authorized Official Contact | 4257728237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monroe Family Medicine, Llc 19030 Lenton Pl Se #274 Monroe WA 98272-1353 Ph: (425) 772-8237 | Monroe Family Medicine, Llc 375 Butler Street Monroe WA 98272 Ph: (425) 772-8237 |
| NPI Number | 1225141989 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225141989 | NPI | - | NPPES |
| 1902806771 | Other | WA | MY INDIVIDUAL NPI NUMBER |
| 1075258 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | WA 00021300 (Washington) | Primary |
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