| Organization Name: | FAMILY PHYSICIANS GENERAL CLINIC |
| NPI Number: | 1770791816 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NINA SPALEK (PHYSICIAN) |
| Mailing Address: | 12459 Ambaum Blvd Sw Ste A Burien |
| State: | WA US |
| Postal Code: | 981462660 |
| Phone Number: | 2064446533 |
| Fax Number: | 2064390421 |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 04/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00021620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |