NPI | 1023834439 |
---|---|
Doing Business As | MAIN STREET FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | HALEIGH SCHWARTZ Office Manager 360-474-5905 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2024-12-02 |
Last Update Date | 2024-12-02 |