JUSTIN MICHAEL MEDLOCK

TACOMA, WA
NPI1891132866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  OP60668377)
Enumeration Date2013-05-30
Last Update Date2016-11-08
Business Address
-- JUSTIN MICHAEL MEDLOCK D.O.
2209 E 32ND ST
TACOMA, WA 98404-4922
Phone number: 253-593-0232
Mailing Address
-- JUSTIN MICHAEL MEDLOCK D.O.
1007 39TH AVE SE
PUYALLUP, WA 98374-2192
Phone number: 509-241-7205
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