Longview Clinic INC
Internal Medicine in Longview, WA. Organization (NPI-2).
NPI number1154571982
StatusActive
Last updated in NPPESSep 29, 2008
Details
- NPI
- 1154571982
- Entity type
- Organization (NPI-2)
- Legal business name
- Longview Clinic INC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2008
- Last updated
- Sep 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
820 11th AveLongview, WA 98632-2072
Phone 360-423-6626 · Fax 360-423-6626
Mailing address
70 Crown Point RdLongview, WA 98632-5794
Phone 360-423-6626 · Fax 360-423-6626
Authorized official
Vivek Jagat Murari
President
3604236626
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