Douglas H Louie Md Phd Ps | |
12157 Pacific Ave S Tacoma WA 98444-5124 | |
(253) 537-1562 | |
Not Available |
Full Name | Douglas H Louie Md Phd Ps |
---|---|
Speciality | Family Medicine |
Location | 12157 Pacific Ave S, Tacoma, Washington |
Authorized Official Name and Position | Douglas H Louie (PHYSICIAN/PRESIDENT) |
Authorized Official Contact | 2535371562 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Douglas H Louie Md Phd Ps 12157 Pacific Ave S Tacoma WA 98444-5124 Ph: (253) 537-1562 | Douglas H Louie Md Phd Ps 12157 Pacific Ave S Tacoma WA 98444-5124 Ph: (253) 537-1562 |
NPI Number | 1093044513 |
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Provider Enumeration Date | 12/11/2009 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 2163562109 |
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Medicare Enrollment ID | O20091222000623 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093044513 | NPI | - | NPPES |
1111756 | Medicaid | WI | |
E98233 | Other | WA | UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00024972 (Washington) | Primary |
Provider Name | Douglas H Louie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821190018 PECOS PAC ID: 0547300584 Enrollment ID: I20091222000609 |
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