Avalon Clinic

NPI #1164635454 in Lakewood, Washington

Provider Information

NPI Number: 1164635454
Entity Type: Organization
Organization Name: Avalon Clinic
Primary Specialty: Clinic/Center
Enumeration Date: May 7, 2007
Last Updated: Mar 23, 2012

Practice Location

Address: 6103 MOUNT TACOMA DR SW
City: Lakewood
State: Washington
ZIP Code: 98499-2727
Phone: (253) 582-8486

Authorized Official

Name: DR. MARK E ZILMER, M.D.
Title: PLASTIC SURGEON
Phone: (253) 582-8486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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