| Mgh Family Health, Ankle And Foot | |
|
1812 N 13th Loop Rd Shelton WA 98584-2169 | |
| (360) 426-3862 | |
| Not Available |
| Full Name | Mgh Family Health, Ankle And Foot |
|---|---|
| Speciality | Family Medicine |
| Location | 1812 N 13th Loop Rd, Shelton, Washington |
| Authorized Official Name and Position | Eric Moll (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3604279556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgh Family Health, Ankle And Foot 1812 N 13th Loop Rd Shelton WA 98584-2169 Ph: () - | Mgh Family Health, Ankle And Foot 1812 N 13th Loop Rd Shelton WA 98584-2169 Ph: (360) 426-3862 |
| NPI Number | 1134573272 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 04/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134573272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
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