Mso Washington, Inc.
NPI #1891116109 in Lakewood, Washington
Provider Information
- NPI Number
- 1891116109
- Entity Type
- Organization
- Organization Name
- Mso Washington, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 4, 2014
- Last Updated
- Oct 27, 2020
Practice Location
- Address
- 4901 108TH ST SW
- City
- Lakewood
- State
- Washington
- ZIP Code
- 98499-3724
- Phone
- (253) 984-7247
Authorized Official
- Name
- CHARLES PLUNKETT
- Title
- PRESIDENT
- Phone
- (253) 984-7247
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Nurse Practitioner |
| Family Medicine |
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