Organization
4TH STREET MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTOSA HO M.D. (OWNER)
(360) 659-4141
Entity
Organization
Contact information
Practice address
1602 4TH ST, MARYSVILLE, WA 98270-5014
(360) 659-4141
(360) 659-1712
Mailing address
1602 4TH ST, MARYSVILLE, WA 98270-5014
(360) 659-4141
(360) 659-1712
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
602329907
WA
Other
Enumeration date
02/04/2008
Last updated
12/08/2014
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