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Organization

FRANCISCAN MEDICAL GROUP

Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Franciscan Vascular Associates - Federal Way
Organization subpart
Yes

Provider details

NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF A. ROBERTSON MD (PRESIDENT)
(253) 779-6101
Entity
Organization

Contact information

Practice address
710 S 348TH ST, STE A, FEDERAL WAY, WA 98003-7042
(253) 833-8032
(253) 661-4286
Mailing address
710 S 348TH ST, STE A, FEDERAL WAY, WA 98003-7042
(253) 833-8032
(253) 661-4286

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0237906
STATE L&I
WA
05
7143332
WA
Enumeration date
07/23/2008
Last updated
09/13/2012
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