| Neurology & Neurosurgery Associates Of Tacoma Pllc | |
|
915 6th Ave Ste 200 Tacoma WA 98405-4682 | |
| (253) 403-7299 | |
| (253) 403-7298 |
| Full Name | Neurology & Neurosurgery Associates Of Tacoma Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 915 6th Ave, Tacoma, Washington |
| Authorized Official Name and Position | John Robert Huddlestone (MANAGING MEMBER) |
| Authorized Official Contact | 2534037299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology & Neurosurgery Associates Of Tacoma Pllc 915 6th Ave Ste 200 Tacoma WA 98405-4682 Ph: (253) 403-7299 | Neurology & Neurosurgery Associates Of Tacoma Pllc 915 6th Ave Ste 200 Tacoma WA 98405-4682 Ph: (253) 403-7299 |
| NPI Number | 1568460707 |
|---|---|
| Provider Enumeration Date | 07/12/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568460707 | NPI | - | NPPES |
| 7809403 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Washington) | Primary |
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