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Organization

FRANCISCAN MEDICAL GROUP

Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
FMG-Franciscan Urology Associates-Tacoma
Organization subpart
Yes

Provider details

NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
DEAN A FIELD MD (CHIEF MEDICAL OFFICER)
(253) 680-4009
Entity
Organization

Contact information

Practice address
1624 S I ST, #204, TACOMA, WA 98405-5016
(253) 272-8441
(253) 272-8096
Mailing address
1624 S I ST, #204, TACOMA, WA 98405-5016
(253) 272-8441
(253) 272-8096

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0255552
STATE L&I
WA
Enumeration date
09/22/2009
Last updated
09/19/2011
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