| Rafael Medicus Clinic, Corp. | |
|
7424 Bridgeport Way West Suite 301 Lakewood WA 98499-8135 | |
| (253) 474-5141 | |
| (253) 474-5507 |
| Full Name | Rafael Medicus Clinic, Corp. |
|---|---|
| Speciality | Family Medicine |
| Location | 7424 Bridgeport Way West, Lakewood, Washington |
| Authorized Official Name and Position | Glenn Noel Padilla Ruiz (PRESIDENT) |
| Authorized Official Contact | 2534745141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rafael Medicus Clinic, Corp. 7424 Bridgeport Way West Suite 301 Lakewood WA 98499-8135 Ph: (253) 474-5141 | Rafael Medicus Clinic, Corp. 7424 Bridgeport Way West Suite 301 Lakewood WA 98499-8135 Ph: (253) 474-5141 |
| NPI Number | 1558718684 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 05/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558718684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00024942 (Washington) | Primary |
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