Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
FMG-John McKelvey, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
DR. CLIFF ROBERTSON MD (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
11311 BRIDGEPORT WAY SW, STE 202, LAKEWOOD, WA 98499-3071
(253) 983-5040
(253) 983-5045
Mailing address
11311 BRIDGEPORT WAY SW, STE 202, LAKEWOOD, WA 98499-3071
(253) 983-5040
(253) 983-5045
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00016214
WA
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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