Eagle Sweep Integrative Internal Medicine Incorporated
Internal Medicine in Bremerton, WA. Organization (NPI-2).
NPI number1780906255
StatusActive
Last updated in NPPESJun 13, 2012
Details
- NPI
- 1780906255
- Entity type
- Organization (NPI-2)
- Legal business name
- Eagle Sweep Integrative Internal Medicine Incorporated
- Organization subpart
- No
- Enumeration date
- Feb 24, 2010
- Last updated
- Jun 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD00030507 | WA | Yes |
Practice location
3036 Perry AveSuite A
Bremerton, WA 98310-5349
Phone 360-627-8493 · Fax 360-627-7920
Mailing address
3036 Perry AveSuite A
Bremerton, WA 98310-5349
Phone 360-627-8493 · Fax 360-627-7920
Authorized official
Tavis Taylor
President
3606278493
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