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Russell Alfaro
Multi-Specialty Clinic/Center in Graham, Washington
NPI 1265199178

Russell Alfaro is a Multi-Specialty Clinic/Center based in Graham, WA and is specialized in Multi-Specialty. Russell Alfaro practices in Graham, WA. The NPI Number for Russell Alfaro is 1265199178 and holds a License No. (Washington).

The current practice location address for Russell Alfaro is 21806 103Rd Avenue Ct E Ste 101, Graham, WA and can be reached out via phone at 253-780-6061.

Location: 21806 103Rd Avenue Ct E Ste 101, Graham, WA, 98338-8115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265199178
Provider Name
Russell Alfaro
Credential
Provider Entity Type
Individual
Gender
Male
Address
21806 103Rd Avenue Ct E Ste 101, Graham, WA, 98338-8115
Phone Number
253-780-6061
Fax Number
Provider Enumeration Date
11/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21806 103Rd Avenue Ct E Ste 101
City
Graham
State
Washington
Zip
98338-8115
Phone Number
253-780-6061
Fax Number
person
Provider Business Mailing Address Details
Address
21806 103Rd Avenue Ct E Ste 101
City
Graham
State
Washington
Zip
98338-8115
Phone Number
253-780-6061
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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