Unknown Individual – Obstetrics & Gynecology Physician, NPI 1518041367
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
11311, Bridgeport Way Southwest, Tahitian Apartments, Lakeview, Lakewood, Pierce County, Washington, 98499, United States
SUITE # 201
LAKEWOOD, WA 984993071
Phone: (253) 588-9878
Fax: (253) 582-4764
Mailing address matches the actual address.
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 98499)
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