| Mps Clinical Services Llc | |
|
22316 70th Ave W Ste 5 Mountlake Terrace WA 98043-2184 | |
| (425) 673-5200 | |
| (425) 673-5230 |
| Full Name | Mps Clinical Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 22316 70th Ave W Ste 5, Mountlake Terrace, Washington |
| Authorized Official Name and Position | Stephen L Boulanger (DIRECTOR) |
| Authorized Official Contact | 4256735200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mps Clinical Services Llc Po Box 3196 Lynnwood WA 98046-3196 Ph: (425) 673-5200 | Mps Clinical Services Llc 22316 70th Ave W Ste 5 Mountlake Terrace WA 98043-2184 Ph: (425) 673-5200 |
| NPI Number | 1942842257 |
|---|---|
| Provider Enumeration Date | 10/09/2019 |
| Last Update Date | 10/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942842257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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