Organization · Type 2 NPI

Prudencio G Tible MD PC

Clinic/Center · Seattle, WA

NPI number 1053417675 Active

Practice location

5023 S Barton Place
Seattle, WA 98118

Call (206) 725-8043 Map

Fax (206) 760-1359

Mailing address

PO Box 18936
Seattle, WA 98118

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1053417675

Prudencio G Tible MD PC's National Provider Identifier is 1053417675, issued on Sep 15, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Seattle, WA. The record was last updated on Aug 22, 2020.