Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Auburn/Federal Way Surgeons - Auburn
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF ROBERTSON (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
200 AUBURN AVE, AUBURN, WA 98002-5015
(253) 833-1986
(253) 939-0521
Mailing address
200 AUBURN AVE, AUBURN, WA 98002-5015
(253) 833-1986
(253) 939-0521
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00029862
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO00000816
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201143
STATE L&I
WA
05
—
7129455
—
WA
05
—
7138316
—
WA
Enumeration date
07/30/2006
Last updated
02/11/2009
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