Unknown Individual – Emergency Medicine Physician, NPI 1073569596
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
9040 Jackson Ave
Tacoma, WA 984314933
Phone: (253) 968-0597
Type: Location
North Jackson Avenue, Tahoma Narrows, West End, Tacoma, Pierce County, Washington, 98465, United States
TACOMA, WA 98431
Phone: (253) 968-0597
Type: Location
1472, Richmond Avenue, DuPont, Pierce County, Washington, 98327, United States
DUPONT, WA 983279702
Phone: (504) 528-1036
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98431)
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