Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Franciscan Surgical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
DEAN FIELD (CHIEF MEDICAL OFFICER)
(253) 858-9192
Entity
Organization
Contact information
Practice address
11307 BRIDGEPORT WAY SW, STE 220-A, LAKEWOOD, WA 98499-3024
(253) 985-2733
(253) 985-2868
Mailing address
11307 BRIDGEPORT WAY SW, STE 220-A, LAKEWOOD, WA 98499-3024
(253) 985-2733
(253) 985-2868
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200031
STATE L&I
WA
05
—
7124035
—
WA
Enumeration date
08/04/2006
Last updated
06/14/2010
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