Rafael Medicus Clinic, Corp.

NPI #1558718684 in Lakewood, Washington

Provider Information

NPI Number: 1558718684
Entity Type: Organization
Organization Name: Rafael Medicus Clinic, Corp.
Primary Specialty: Family Medicine
Enumeration Date: May 18, 2016
Last Updated: May 18, 2016

Practice Location

Address: 7424 BRIDGEPORT WAY WEST
Address 2: SUITE 301
City: Lakewood
State: Washington
ZIP Code: 98499-8135
Phone: (253) 474-5141

Authorized Official

Name: MR. GLENN NOEL PADILLA RUIZ
Title: PRESIDENT
Phone: (253) 474-5141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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