Star Medical Clinic Inc.
NPI #1790037224 in Centralia, Washington
Provider Information
- NPI Number
- 1790037224
- Entity Type
- Organization
- Organization Name
- Star Medical Clinic Inc.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 8, 2012
- Last Updated
- Dec 28, 2012
Practice Location
- Address
- 1217 MELLEN ST
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-1175
- Phone
- (360) 740-8546
Authorized Official
- Name
- MR. ERIC G CARLSON
- Title
- PRESIDENT AND CEO
- Phone
- (360) 269-5541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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