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Bonney Lake Medical Center
Specialist in Bonney Lake, Washington
NPI 1700056587

Bonney Lake Medical Center is a Specialist based in Bonney Lake, WA. Bonney Lake Medical Center practices in Bonney Lake, WA. The NPI Number for Bonney Lake Medical Center is 1700056587 and holds a License No. MD00036489 (Washington).

The current practice location address for Bonney Lake Medical Center is 20631 Hwy 410 E., Bonney Lake, WA and can be reached out via phone at 253-891-2160 and via fax at 253-891-2171.

Location: 20631 Hwy 410 E., Bonney Lake, WA, 98390-6390
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700056587
Provider Name
Bonney Lake Medical Center
Credential
Provider Entity Type
Organization
Address
20631 Hwy 410 E., Bonney Lake, WA, 98390-6390
Phone Number
253-891-2160
Fax Number
253-891-2171
Provider Enumeration Date
03/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1117456 05 WA
institution
Provider Business Practice Location Address Details
Address
20631 Hwy 410 E.
City
Bonney Lake
State
Washington
Zip
98390-6390
Phone Number
253-891-2160
Fax Number
253-891-2171
person
Provider Business Mailing Address Details
Address
20631 Hwy 410 E.
City
Bonney Lake
State
Washington
Zip
98390-6390
Phone Number
253-891-2160
Fax Number
253-891-2171
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD00036489 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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