is a Nuclear Cardiology in Tacoma, Washington. practices all healthcare services and medical treatments related to Nuclear Cardiology. The NPI Number for is 1205986312. The last update date is .
's current location address is 1802 Yakima Ave Ste 307, Tacoma, Washington. You can contact this provider via phone number 2536271244 and fax number 2536273520. The mailing address for is 1802 Yakima Ave Ste 307, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
---|---|
Address | 1802 Yakima Ave Ste 307, Tacoma, Washington |
Phone Number | 2536271244 |
Fax Number | 2536273520 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1205986312 |
---|---|
Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1802 Yakima Ave Ste 307 |
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City | Tacoma |
State | Washington (WA) |
Post Code | 984055305 |
Phone Number | 2536271244 |
Fax Number | 2536273520 |
Provider's Primary Taxonomy Detail
Speciality | Nuclear Cardiology |
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Taxonomy | 207Un0901X |
Licence No | MD00041200 |
Definition: A nuclear medicine physician who specializes in nuclear cardiology. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
168601 | WA | DEPARTMENT OF L&I | |
P00008350 | WA | RAILROAD MEDICARE | |
1300LA | WA | REGENCE | |
4751LA | WA | REGENCE | |
1708LA | WA | REGENCE | |
1004592 | WA | -- | |
1802LA | WA | REGENCE |
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