Organization
FAMILY PHYSICIANS GENERAL CLINIC
Active
Other names
Family Physicians GC
Organization subpart
No
Provider details
NPI number
Authorized official
NINA SPALEK MD (PHYSICIAN)
(206) 444-6533
Entity
Organization
Contact information
Practice address
12459 AMBAUM BLVD SW STE A, BURIEN, WA 98146-2660
(206) 444-6533
(206) 439-0421
Mailing address
12459 AMBAUM BLVD SW STE A, BURIEN, WA 98146-2660
(206) 444-6533
(206) 439-0421
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00021620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122873
L AND I
WA
01
—
50D0944376
CLIA
WA
05
—
7113020
—
WA
01
—
SP8107
REGENCE
WA
Enumeration date
05/21/2007
Last updated
04/22/2008
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