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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