Maranatha Medical Clinic INC P S

NPI #1205164639 in Renton, Washington

Provider Information

NPI Number
1205164639
Entity Type
Organization
Organization Name
Maranatha Medical Clinic INC P S
Primary Specialty
Internal Medicine
Enumeration Date
Nov 23, 2009
Last Updated
Sep 11, 2017

Practice Location

Address
17900 TALBOT RD S
Address 2
#101
City
Renton
ZIP Code
98055-8212
Phone
(425) 235-9614

Authorized Official

Name
DR. DAN L GRAV ES, MD
Title
PRESIDENT
Phone
(425) 235-9614

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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