Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
St. Francis Breast Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF ROBERTSON (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
34503 9TH AVE S, STE 320, FEDERAL WAY, WA 98003-8727
(253) 944-4280
(253) 835-8000
Mailing address
34503 9TH AVE S, STE 320, FEDERAL WAY, WA 98003-8727
(253) 944-4280
(253) 835-8000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7129448
—
WA
Enumeration date
08/04/2006
Last updated
06/15/2010
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