| NPI | 1679891402 |
|---|---|
| Other Name | MCDERMOTT PLACE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMANDA L LANGAN Provider Enrollment Specialist 206-548-3114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2013-06-12 |