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Organization

IMG WA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIM MCMENAMIN (MANAGER)
(800) 564-1303
Entity
Organization

Contact information

Practice address
300 DESCHUTES WAY SW STE 304, TUMWATER, WA 98501-7719
(800) 564-1303
Mailing address
300 DESCHUTES WAY SW STE 304, TUMWATER, WA 98501-7719
(800) 564-1303

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
07/28/2017
Last updated
07/21/2022
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