| Spanaway General Medical Clinic | |
|
15005 Pacific Ave Spanaway General Medical Clinic Tacoma WA 98444 | |
| (253) 537-3724 | |
| (253) 537-6425 |
| Full Name | Spanaway General Medical Clinic |
|---|---|
| Speciality | General Practice |
| Location | 15005 Pacific Ave, Tacoma, Washington |
| Authorized Official Name and Position | Andrew Man Kuen Tsoi (OWNER) |
| Authorized Official Contact | 2535373724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spanaway General Medical Clinic 15005 Pacific Ave Spanaway General Medical Clinic Tacoma WA 98444 Ph: (253) 537-3724 | Spanaway General Medical Clinic 15005 Pacific Ave Spanaway General Medical Clinic Tacoma WA 98444 Ph: (253) 537-3724 |
| NPI Number | 1770514937 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 10/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770514937 | NPI | - | NPPES |
| 7174006 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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