Organization
FRANCISCAN MEDICAL GROUP
Active
Other names
FMG GO HEALTH URGENT CARE - PUYALLUP
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE FITZGERALD (CFO)
(253) 680-4005
Entity
Organization
Contact information
Practice address
12005 MERIDIAN E STE 101, PUYALLUP, WA 98373-3423
(253) 215-1095
(253) 215-1096
Mailing address
PO BOX 31001-15158, PASADENA, CA 91110-1518
(253) 779-6260
(253) 779-6294
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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