| |
1802 Yakima Ave Ste 208 Tacoma WA 98405-5304 | |
(253) 985-2722 | |
(253) 985-2853 |
Full Name | |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 1802 Yakima Ave, Tacoma, Washington |
Authorized Official Name and Position | Dean Field (CMO) |
Authorized Official Contact | 2536804009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1802 Yakima Ave Ste 208 Tacoma WA 98405-4499 Ph: (253) 985-2722 | 1802 Yakima Ave Ste 208 Tacoma WA 98405-5304 Ph: (253) 985-2722 |
NPI Number | 1427378322 |
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Provider Enumeration Date | 06/03/2010 |
Last Update Date | 03/11/2011 |
Identifier | Type | State | Issuer |
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1427378322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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