NPI 1952561805

Pediatric Clinic

Organisation Point of Service Federal Way, WA

Practice location

Address: 32124 1st Ave S STE 100, Federal Way, WA 98003-5761
Phone: (253) 661-5939
Fax: (253) 661-5929
Mailing address: 32124 1st Avenue S STE 100, Federal Way, WA 98003

Authorised official

Name: Mohinder Singh Badyal
Title: Physician
Phone: (253) 661-5939

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence MD00031337 (WA)

Other Point of Service providers in Washington →

Registry record

NPI: 1952561805
Entity type: Organization
NPI issued: 13 Jun 2008
Record last updated: 13 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.