Robert E Suchert Do Ps | |
617 5th Ave S Edmonds WA 98020 | |
(425) 774-5113 | |
(425) 774-5114 |
Full Name | Robert E Suchert Do Ps |
---|---|
Speciality | Family Medicine |
Location | 617 5th Ave S, Edmonds, Washington |
Authorized Official Name and Position | Robert E Suchert (PRESIDENT OWNER) |
Authorized Official Contact | 4257745113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Robert E Suchert Do Ps Po Box 2003 Edmonds WA 98020 Ph: (425) 774-5113 | Robert E Suchert Do Ps 617 5th Ave S Edmonds WA 98020 Ph: (425) 774-5113 |
NPI Number | 1205014388 |
---|---|
Provider Enumeration Date | 01/31/2008 |
Last Update Date | 01/31/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205014388 | NPI | - | NPPES |
040601 | Other | WA | L AND I |
1856202 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OP00000563 (Washington) | Primary |
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