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Organization

AUBURN REGIONAL MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE PATONAI (CEO)
(253) 447-4770
Entity
Organization

Contact information

Practice address
21220 SR 410 E, BONNEY LAKE, WA 98391-8458
(253) 447-4770
(253) 447-4771
Mailing address
PO BOX 399, AUBURN, WA 98071-0399
(253) 447-4770
(253) 447-4771

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207X00000X
Orthopaedic Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7147549
WA
Enumeration date
09/14/2009
Last updated
04/01/2010
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