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Surgical Weight Loss Clinic Of Eastern Washington Pllc
Medical Specialty Clinic/Center in Richland, Washington
NPI 1083732440

Surgical Weight Loss Clinic Of Eastern Washington Pllc is a Medical Specialty Clinic/Center based in Richland, WA and is specialized in Medical Specialty. Surgical Weight Loss Clinic Of Eastern Washington Pllc practices in Richland, WA. The NPI Number for Surgical Weight Loss Clinic Of Eastern Washington Pllc is 1083732440 and holds a License No. (Washington).

The current practice location address for Surgical Weight Loss Clinic Of Eastern Washington Pllc is 1075 Jadwin Ave, Richland, WA and can be reached out via phone at 509-943-0710.

Location: 1075 Jadwin Ave, Richland, WA, 99352-3437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083732440
Provider Name
Surgical Weight Loss Clinic Of Eastern Washington Pllc
Credential
Provider Entity Type
Organization
Address
1075 Jadwin Ave, Richland, WA, 99352-3437
Phone Number
509-943-0710
Fax Number
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1699717009 01 WA NPI TERRI DAVARI
1942363353 01 WA NPI FOR SAMUEL ROSS FOX
1306919725 01 WA NPI FOR EARL ROSS FOX
institution
Provider Business Practice Location Address Details
Address
1075 Jadwin Ave
City
Richland
State
Washington
Zip
99352-3437
Phone Number
509-943-0710
Fax Number
person
Provider Business Mailing Address Details
Address
1075 Jadwin Ave
City
Richland
State
Washington
Zip
99352-3437
Phone Number
509-943-0710
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
(Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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