Organization
FRANCISCAN MEDICAL GROUP
Active
Other names
St Francis Center for Weight Management
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE FITZGERALD (VP FINANCIAL OPS)
(253) 680-4005
Entity
Organization
Contact information
Practice address
34509 9TH AVE S, STE 310, FEDERAL WAY, WA 98003-6700
(253) 944-6544
(253) 944-6542
Mailing address
34509 9TH AVE S, STE 310, FEDERAL WAY, WA 98003-6700
(253) 944-6544
(253) 944-6542
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
07/19/2012
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