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Organization · Family Medicine Physician · Tenino, WA

NPI

1851357008

Type

Organization (Type 2)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

MD00022762 (WA)

Enumerated

2006-04-25

Last updated

2013-06-04