Organization
DEER PARK FAMILY CARE CLINIC PS
Active
Other names
Deer Park Family Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR A FIGUEROA M.D. (OWNER/PRACTICIONER)
(509) 276-5005
Entity
Organization
Contact information
Practice address
905 E D ST, DEER PARK, WA 99006
(509) 276-5005
(509) 276-6785
Mailing address
PO BOX 1529, DEER PARK, WA 99006-1529
(509) 276-5005
(509) 276-6785
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
WA
261QR1300X
Rural Health Clinic/Center
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7085640
—
WA
05
—
7118326
—
WA
Enumeration date
07/10/2006
Last updated
08/01/2012
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