| Badger Mountain Family Medicine Pc | |
|
560 Gage Blvd Suite 206 Richland WA 99352-8650 | |
| (509) 628-1220 | |
| Not Available |
| Full Name | Badger Mountain Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 560 Gage Blvd, Richland, Washington |
| Authorized Official Name and Position | James Daniel Vaughn (OWNER) |
| Authorized Official Contact | 5096281220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Badger Mountain Family Medicine Pc 560 Gage Blvd Suite 206 Richland WA 99352-8650 Ph: (509) 628-1220 | Badger Mountain Family Medicine Pc 560 Gage Blvd Suite 206 Richland WA 99352-8650 Ph: (509) 628-1220 |
| NPI Number | 1326016056 |
|---|---|
| Provider Enumeration Date | 03/09/2006 |
| Last Update Date | 12/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326016056 | NPI | - | NPPES |
| 7117500 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00035663 (Washington) | Primary |
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