Organization · Type 2 NPI

Rediclinic of Wa, LLC

Clinic/Center · Bonney Lake, WA

NPI number 1073990610 Active

Practice location

21302 State Route 410 E
Bonney Lake, WA 98391-8468

Call (713) 335-1742 Map

Fax (713) 358-4881

Mailing address

9 Greenway Plz, Ste. 2950
Houston, TX 77046-0905

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).

10 other providers at this address

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About NPI 1073990610

Rediclinic of Wa, LLC's National Provider Identifier is 1073990610, issued on May 4, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Bonney Lake, WA. The record was last updated on May 4, 2015.