Unknown Individual – Clinical Neurophysiology Physician, NPI 1073650669
Clinical Neurophysiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
9040A FITZSIMMONS DRIVE
TACOMA, WA 984311100
Phone: (253) 968-1440
Type: Location
3747, Kinsale Lane Southeast, Olympia, Thurston County, Washington, 98501, United States
OLYMPIA, WA 985019118
Phone: (253) 968-1440
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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