Enumclaw Internal Medicine and Diagnostics, Ps

NPI #1023281623 in Enumclaw, Washington

Provider Information

NPI Number
1023281623
Entity Type
Organization
Organization Name
Enumclaw Internal Medicine and Diagnostics, Ps
Primary Specialty
Internal Medicine
Enumeration Date
Apr 4, 2008
Last Updated
Oct 10, 2018

Practice Location

Address
1427 JEFFERSON AVE
Address 2
SUITE # 102
ZIP Code
98022-3649
Phone
(360) 802-0803

Authorized Official

Name
EMITIS K HOSODA
Title
PRESIDENT
Phone
(360) 802-0803

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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