Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
FMG-Federal Way Orthopedic Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
DR. CLIFF A. ROBERTSON MD (PRESIDENT AND CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
34709 9TH AVE S, #B-500, FEDERAL WAY, WA 98003-8722
(253) 838-8552
(253) 874-6089
Mailing address
34709 9TH AVE S, #B-500, FEDERAL WAY, WA 98003-8722
(253) 838-8552
(253) 874-6089
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0219676
STATE L&I
WA
05
—
7137094
—
WA
Enumeration date
04/24/2007
Last updated
06/14/2010
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