Franciscan Medical Group
Family Medicine in University Place, WA. Organization (NPI-2).
NPI number1629602016
StatusActive
Last updated in NPPESFeb 25, 2020
Details
- NPI
- 1629602016
- Entity type
- Organization (NPI-2)
- Legal business name
- Franciscan Medical Group
- Organization subpart
- No
- Enumeration date
- Feb 25, 2020
- Certification date
- Feb 25, 2020
- Last updated
- Feb 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207P00000X | Emergency Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – |
Other names
- Fmg Go Health Urgent Care - University Place (Doing Business As)
Practice location
3556 Market Pl W Ste 109University Place, WA 98466-4339
Phone 253-215-1122 · Fax 253-215-1123
Mailing address
Po Box 31001-1518Pasadena, CA 91110-1518
Phone 253-779-6260 · Fax 253-779-6294
Authorized official
Mike Fitzgerald
Cfo
2536804005
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