Up Family Medicine Pllc
NPI #1417577909 in University Place, Washington
Provider Information
- NPI Number
- 1417577909
- Entity Type
- Organization
- Organization Name
- Up Family Medicine Pllc
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Apr 24, 2020
- Last Updated
- Apr 24, 2020
Practice Location
- Address
- 4114 BRIDGEPORT WAY W
- City
- University Place
- State
- Washington
- ZIP Code
- 98466-4315
- Phone
- (253) 564-8100
Authorized Official
- Name
- TAI DAVALOS
- Title
- MANAGER
- Phone
- (253) 564-8100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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