Organization
ENUMCLAW INTERNAL MEDICINE AND DIAGNOSTICS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMITIS K HOSODA (PRESIDENT)
(360) 802-0803
Entity
Organization
Contact information
Practice address
1427 JEFFERSON AVE, SUITE # 102, ENUMCLAW, WA 98022-3649
(360) 802-0803
(360) 802-0806
Mailing address
1427 JEFFERSON AVE, SUITE # 102, ENUMCLAW, WA 98022-3649
(360) 802-0803
(360) 802-0806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/04/2008
Last updated
10/10/2018
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