204C00000X
Tacoma, WA
Specialty
204C00000X
Credential
MD
NPI
1528154770
209 Martin Luther King Jr Way, Tacoma, WA 98405
(253) 403-3378Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 204c00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 204C00000X