Organization
MONROE FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANTONIO BECERRIL M.D. (OWNER)
(425) 772-8237
Entity
Organization
Contact information
Practice address
375 BUTLER STREET, MONROE, WA 98272
(425) 772-8237
Mailing address
19030 LENTON PL SE, #274, MONROE, WA 98272-1353
(425) 772-8237
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
WA 00021300
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1075258
—
WA
01
—
1902806771
MY INDIVIDUAL NPI NUMBER
WA
Enumeration date
08/16/2006
Last updated
07/21/2022
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