Terry Lane Gram is a Medical in Tacoma, Washington. Terry Lane Gram practices all healthcare services and medical treatments related to Medical. The NPI Number for Terry Lane Gram is 1225186836. The last update date is 2013-10-02.
Terry Lane Gram's current location address is Madigan Army Medical Center 9040 A Reid St, Tacoma, Washington. You can contact this provider via phone number 2539681110. The mailing address for Terry Lane Gram is Madigan Army Medical Center 9040 A Reid St, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Lane Gram |
|---|---|
| Address | Madigan Army Medical Center 9040 A Reid St, Tacoma, Washington |
| Phone Number | 2539681110 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1225186836 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2013-10-02 |
Provider Mailing Address Detail
| Address | Madigan Army Medical Center 9040 A Reid St |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984311100 |
| Phone Number | 2539681110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 025211 PA10 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code issued to Terry Lane Gram by the Centers for Medicare & Medicaid Services?
The Terry Lane Gram has been assigned the NPI (National Provider Identifier) 1225186836 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Terry Lane Gram's physical address?
The Terry Lane Gram is physically located at Madigan Army Medical Center 9040 A Reid St, in the city of Tacoma, WA, with the postal code 984311100.
What is Terry Lane Gram's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Terry Lane Gram is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1225186836 to Terry Lane Gram?
The Terry Lane Gram received its 1225186836 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the information regarding Terry Lane Gram most recently updated?
The details pertaining to the Terry Lane Gram, including its address, specialty, and other relevant information, were last refreshed on 2013-10-02.
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