4th Street Medical Care Pllc
NPI #1659559409 in Marysville, Washington
Provider Information
- NPI Number
- 1659559409
- Entity Type
- Organization
- Organization Name
- 4th Street Medical Care Pllc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Feb 4, 2008
- Last Updated
- Dec 8, 2014
Practice Location
- Address
- 1602 4TH ST
- City
- Marysville
- State
- Washington
- ZIP Code
- 98270-5014
- Phone
- (360) 659-4141
Authorized Official
- Name
- DR. SANTOSA HO, M.D.
- Title
- OWNER
- Phone
- (360) 659-4141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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