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Organization
FRANCISCAN MEDICAL GROUP
Active
Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDCIAL GROUP
Other names
Franciscan Ear, Nose & Throat Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDCIAL GROUP
Authorized official
CLIFF ROBERTSON MD (CHIEF MEDICAL OFFICER)
(253) 207-4854
Entity
Organization
Contact information
Practice address
1708 YAKIMA AVE, SUITE 112, TACOMA, WA 98405-5307
(253) 627-6731
(253) 627-1064
Mailing address
1708 YAKIMA AVE, SUITE 112, TACOMA, WA 98405-5307
(253) 627-6731
(253) 627-1064
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208422
STATE L&I
WA
05
—
7132947
—
WA
01
—
DE7552
MEDICARE RAILROAD
WA
Enumeration date
05/06/2006
Last updated
08/01/2011
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