is a Cardiovascular Disease in Tacoma, Washington. practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for is 1578613618. The last update date is .
's current location address is 209 Martin Luther King Jr Way, Tacoma, Washington. You can contact this provider via phone number 2535963300. The mailing address for is 209 Martin Luther King Jr Way, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 209 Martin Luther King Jr Way, Tacoma, Washington |
| Phone Number | 2535963300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1578613618 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 209 Martin Luther King Jr Way |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984054265 |
| Phone Number | 2535963300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | MD00043414 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 214702 | WA | DEPARTMENT OF L&I | |
| 1280PE | WA | REGENCE | |
| 1780PE | WA | REGENCE | |
| 1802PE | WA | REGENCE | |
| 82456816 | WA | -- | |
| 6410PE | WA | REGENCE | |
| P00249562 | WA | RAILROAD MEDICARE | |
| 1311 | WA | REGENCE |
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