Organization
EAGLE SWEEP INTEGRATIVE INTERNAL MEDICINE INCORPORATED
Active
Organization
EAGLE SWEEP INTEGRATIVE INTERNAL MEDICINE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAVIS TAYLOR M.D. (PRESIDENT)
(360) 627-8493
Entity
Organization
Contact information
Practice address
3036 PERRY AVE, SUITE A, BREMERTON, WA 98310-5349
(360) 627-8493
(360) 627-7920
Mailing address
3036 PERRY AVE, SUITE A, BREMERTON, WA 98310-5349
(360) 627-8493
(360) 627-7920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00030507
WA
Other
Enumeration date
02/24/2010
Last updated
06/13/2012
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