# SPANAWAY GENERAL MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770514937
- **Authorized official:** DR. ANDREW MAN KUEN TSOI MD (OWNER)
- **Authorized official phone:** (253) 537-3724

## Contact information

- **Practice address:** 15005 PACIFIC AVE, SPANAWAY GENERAL MEDICAL CLINIC, TACOMA, WA 98444
- **Practice address phone:** (253) 537-3724
- **Practice address fax:** (253) 537-6425
- **Mailing address:** 15005 PACIFIC AVE, SPANAWAY GENERAL MEDICAL CLINIC, TACOMA, WA 98444
- **Mailing address phone:** (253) 537-3724
- **Mailing address fax:** (253) 537-6425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 10/25/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7174006 | — | WA |