Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
All Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF ROBERTSON (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
11025 CANYON RD E, STE C, PUYALLUP, WA 98373-4264
(253) 536-1020
(253) 536-1612
Mailing address
11025 CANYON RD E, STE C, PUYALLUP, WA 98373-4264
(253) 536-1020
(253) 536-1612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205195
STATE L&I
WA
05
—
7117583
—
WA
Enumeration date
07/30/2006
Last updated
02/20/2008
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