Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
St. Joseph Women's Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
STEPHEN SPARE (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
1812 S J ST, STE 120, TACOMA, WA 98405-4964
(253) 382-8400
(253) 382-8438
Mailing address
1812 S J ST, STE 120, TACOMA, WA 98405-4964
(253) 382-8400
(253) 382-8438
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0176352
STATE L&I
WA
05
—
7117740
—
WA
01
—
CH2190
RAILROAD MEDICARE
WA
Enumeration date
07/30/2006
Last updated
01/25/2012
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