Russell W Faria Do PC
NPI #1457521619 in Kent, Washington
Provider Information
- NPI Number
- 1457521619
- Entity Type
- Organization
- Organization Name
- Russell W Faria Do PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 4, 2008
- Last Updated
- Mar 4, 2008
Practice Location
- Address
- 15215 SE 272ND ST STE 103
- City
- Kent
- State
- Washington
- ZIP Code
- 98042-4215
- Phone
- (253) 639-1883
Authorized Official
- Name
- MS. TRISH BUKAUSKAS
- Title
- BILLING MGR
- Phone
- (843) 293-9966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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