Miles Mcbride Dale, MD | |
1519 3rd St Se Ste 230, Puyallup, WA 98372-3742 | |
(253) 841-9640 | |
(253) 841-7645 |
Full Name | Miles Mcbride Dale |
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Gender | Male |
Speciality | Surgery |
Location | 1519 3rd St Se Ste 230, Puyallup, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558899005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD61453759 (Washington) | Primary |
Entity Name | Stephen Gomes Pereira Md Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134422876 PECOS PAC ID: 4587843875 Enrollment ID: O20110119000184 |
Mailing Address | Practice Location Address |
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Miles Mcbride Dale, MD Po Box 5299, Ms: 820-5-pco, Tacoma, WA 98415-0299 Ph: () - | Miles Mcbride Dale, MD 1519 3rd St Se Ste 230, Puyallup, WA 98372-3742 Ph: (253) 841-9640 |
Dr. Cholwoo Anthony Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1519 3rd St Se, Ste 230, Puyallup, WA 98372 Phone: 253-841-9640 Fax: 253-841-7645 | |
Dr. Douglas R. King, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1519 3rd St Se, Ste 230, Puyallup, WA 98372 Phone: 253-841-9640 Fax: 253-841-7645 | |
Dr. Kenneth A. Feucht, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1519 3rd St Se, Ste 230, Puyallup, WA 98372 Phone: 253-445-1844 Fax: 253-841-9701 | |
Brian Nelson, Surgery Medicare: Accepting Medicare Assignments Practice Location: 208 17th Ave Se, Puyallup, WA 98372 Phone: 253-840-1999 | |
Rajiv Jaisimha Iyengar, MD Surgery Medicare: Medicare Enrolled Practice Location: 4210 10th St Se, Puyallup, WA 98374 Phone: 253-840-5397 | |
Dr. Chia J. Chung, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 105 27th Ave Se, Puyallup, WA 98374 Phone: 253-848-8110 Fax: 253-845-3561 |