Organization
COSMAS PRIMARY CARE, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROXANNE JUI HO MD (PRESIDENT)
(817) 891-3123
Entity
Organization
Contact information
Practice address
2115 S 56TH ST STE 103, TACOMA, WA 98409-6900
(253) 471-3193
Mailing address
PO BOX 64093, UNIVERSITY PLACE, WA 98464-0093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00048903
WA
Other
Enumeration date
06/06/2017
Last updated
06/16/2017
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