208100000X
Tacoma, WA
Specialty
208100000X
Credential
M.D.
NPI
1700951175
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 208100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208100000X