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FOX MEDICAL CENTER P.C.

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Company Details

Legal Name: FOX MEDICAL CENTER P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 15th 2020
Expiration date: 31 Oct 2025
UBI Number: 604 659 283
ZIP code: 98466
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4620 BRIDGEPORT WAY W, UNIVERSITY PL, WA, 98466-4237, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 5721 S HUSON ST, TACOMA, WA, 98409-1201, UNITED STATES

Contact Details

E-Mail: CHI97DO@USA.NET
Phone Number: +1 773-263-8591

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
BRIAN FOX Registered Agent 4620 BRIDGEPORT WAY W, UNIVERSITY PL, WA, 98466-4237, UNITED STATES

Key Officers & Management

Name Role Address
BRIAN FOX Governing Person 5721 S HUSON ST, TACOMA, WA, 98409-1201, UNITED STATES
BRIAN FOX Incorporator 5721 S HUSON ST, TACOMA, WA, 98409-1201, UNITED STATES

National Provider Identifier

NPI Number:
1639748882
Certification Date:
2021-06-29

Authorized Person:

Name:
DR. BRIAN LEE FOX
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7733041911
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