Stanley D Borish Md Inc Ps | |
19526 64th Ave W Lynnwood WA 98036-5100 | |
(425) 774-1685 | |
(425) 670-0713 |
Full Name | Stanley D Borish Md Inc Ps |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 19526 64th Ave W, Lynnwood, Washington |
Authorized Official Name and Position | Stanley D Borish (PHYSICIAN, CEO) |
Authorized Official Contact | 4257741685 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stanley D Borish Md Inc Ps 19526 64th Ave W Lynnwood WA 98036-5100 Ph: (425) 774-1685 | Stanley D Borish Md Inc Ps 19526 64th Ave W Lynnwood WA 98036-5100 Ph: (425) 774-1685 |
NPI Number | 1740502731 |
---|---|
Provider Enumeration Date | 02/18/2010 |
Last Update Date | 03/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740502731 | NPI | - | NPPES |
R59249 | Other | WA | REGENCE BLUE SHIELD |
1022177 | Medicaid | WA | |
1200936 | Other | WA | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | MD00015305 (Washington) | Primary |
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