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Organization
FAMILY PHYSICIANS GENERAL CLINIC
Active
Organization
FAMILY PHYSICIANS GENERAL CLINIC
Active
Other names
Family Physicians GC
Organization subpart
No
Provider details
NPI number
Authorized official
NINA SPALEK MD (PHYSICIAN)
(206) 444-6533
Entity
Organization
Contact information
Practice address
12459 AMBAUM BLVD SW STE A, BURIEN, WA 98146-2660
(206) 444-6533
(206) 439-0421
Mailing address
12459 AMBAUM BLVD SW STE A, BURIEN, WA 98146-2660
(206) 444-6533
(206) 439-0421
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00021620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122873
L AND I
WA
01
—
50D0944376
CLIA
WA
05
—
7113020
—
WA
01
—
SP8107
REGENCE
WA
Enumeration date
05/21/2007
Last updated
04/22/2008
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