Organization
ST. PAUL MEDICAL CLINIC, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY PHAM D.O. (PHYSICIAN/OWNER)
(206) 240-0422
Entity
Organization
Contact information
Practice address
510 6TH AVE S, 101, SEATTLE, WA 98104-3877
(206) 240-0422
Mailing address
510 6TH AVE S, SUITE 101, SEATTLE, WA 98104-3877
(206) 240-0422
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OP60001377
WA
Other
Enumeration date
05/06/2010
Last updated
11/15/2012
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