Organization
INTERNAL MEDICINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASWANT G VIRK M.D (PHYSICIAN)
(253) 833-1735
Entity
Organization
Contact information
Practice address
202 AUBURN AVE, AUBURN, WA 98002-5015
(253) 833-1735
(253) 833-8515
Mailing address
202 AUBURN AVE, AUBURN, WA 98002-5015
(253) 833-1735
(253) 833-8515
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD00048708
WA
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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