| South Auburn Medical Clinic Inc | |
|
3830 A St Se Ste 204 Auburn WA 98002-8611 | |
| (253) 804-9190 | |
| (253) 804-5797 |
| Full Name | South Auburn Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3830 A St Se Ste 204, Auburn, Washington |
| Authorized Official Name and Position | Alfred Aflatooni (CEO PRESIDENT) |
| Authorized Official Contact | 2538049190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Auburn Medical Clinic Inc 3830 A St Se Ste 204 Auburn WA 98002-8611 Ph: (253) 804-9190 | South Auburn Medical Clinic Inc 3830 A St Se Ste 204 Auburn WA 98002-8611 Ph: (253) 804-9190 |
| NPI Number | 1265558993 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 05/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265558993 | NPI | - | NPPES |
| 4121SO | Other | WA | REGENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 602338317 (Washington) | Primary |
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