Organization
PROCTOR MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KSENIA ARUTYUNYAN (PRESIENT)
(253) 444-5060
Entity
Organization
Contact information
Practice address
1208 SOUTH PROCTOR ST, TACOMA, WA 98405
(253) 444-5060
Mailing address
1208 SOUTH PROCTOR ST, TACOMA, WA 98405
(253) 444-5060
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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