Organization
FRANCISCAN MEDICAL GROUP
Active
Other names
Franciscan Medical Clinic-Bonney Lake
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SPARE MD (PRESIDENT AND CMO)
(253) 792-4344
Entity
Organization
Contact information
Practice address
9230 SKY ISLAND DRIVE E, BONNEY LAKE, WA 98391-7187
(253) 750-6000
Mailing address
9230 SKY ISLAND DRIVE E, BONNEY LAKE, WA 98391-7187
(253) 750-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
07/03/2013
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