institution
Privia Medical Group Washington, Pllc
Rural Health Clinic/Center in Walla Walla, Washington
NPI 1346441979

Privia Medical Group Washington, Pllc is a Rural Health Clinic/Center based in Walla Walla, WA and is specialized in Rural Health. Privia Medical Group Washington, Pllc practices in Walla Walla, WA. The NPI Number for Privia Medical Group Washington, Pllc is 1346441979 and holds a License No. FX00058422 (Washington).

The current practice location address for Privia Medical Group Washington, Pllc is 55 W Tietan St, Walla Walla, WA and can be reached out via phone at 509-525-3720 and via fax at 509-522-1292.

Location: 55 W Tietan St, Walla Walla, WA, 99362-4445
institution
Provider Profile Details
NPI Number
1346441979
Provider Name
Privia Medical Group Washington, Pllc
Credential
Provider Entity Type
Organization
Address
55 W Tietan St, Walla Walla, WA, 99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1292
Provider Enumeration Date
05/30/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7086820 05 WA
institution
Provider Business Practice Location Address Details
Address
55 W Tietan St
City
State
Zip
99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1292
person
Provider Business Mailing Address Details
Address
55 W Tietan St
City
State
Zip
99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1292
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
FX00058422 (Washington)
Definition
Definition to come...
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