Organization · Type 2 NPI
Internal Medicine Clinic LLC
Primary Care Clinic/Center · Auburn, WA
NPI number
1104064641
Active
Practice location
202 Auburn Ave
Auburn, WA 98002-5015
Fax (253) 833-8515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | MD00048708 (WA) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1104064641
Internal Medicine Clinic LLC's National Provider Identifier is 1104064641, issued on Jan 21, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Auburn, WA. The record was last updated on Jan 21, 2009.