Organization
FRANCISCAN MEDICAL GROUP
Active
Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Tacoma South Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF A ROBERTSON MD (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
2111 S 90TH ST, TACOMA, WA 98444-1822
(253) 539-9700
Mailing address
2111 S 90TH ST, TACOMA, WA 98444-1822
(253) 539-9700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041631
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126502
STATE L&I
WA
05
—
7093792
—
WA
01
—
8926851
STATE CRIME VICTIMS
WA
Enumeration date
07/02/2006
Last updated
06/20/2008
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