Organization
STAR MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC G CARLSON (PRESIDENT AND CEO)
(360) 269-5541
Entity
Organization
Contact information
Practice address
1217 MELLEN ST, CENTRALIA, WA 98531-1175
(360) 740-8546
(866) 874-1472
Mailing address
605 SE PROSPECT ST, CHEHALIS, WA 98532-4308
(360) 269-5541
(866) 874-1472
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2012
Last updated
12/28/2012
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