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Organization
SOAP LAKE FAMILY MEDICINE
Active
Organization
SOAP LAKE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN THOMAS BEARUP PA (PARTNER)
(509) 246-0540
Entity
Organization
Contact information
Practice address
127 2ND AVE SW, SOAP LAKE, WA 98851-0958
(509) 246-0540
(509) 246-0358
Mailing address
127 2ND AVE SW, SOAP LAKE, WA 98851-0958
(509) 246-0540
(509) 246-0358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA10001768
WA
Other
Enumeration date
10/01/2007
Last updated
03/31/2008
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