Organization
SOUTHGATE MEDICAL CLINIC, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALFILER VELASCO JR. M.D. (OWNER)
(206) 723-9853
Entity
Organization
Contact information
Practice address
6044 MARTIN LUTHER KING JR WAY S STE 104, SEATTLE, WA 98118-3179
(206) 723-9853
Mailing address
6044 MARTIN LUTHER KING JR WAY S STE 104, SEATTLE, WA 98118-3179
(206) 723-9853
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
WA
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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