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Contact Information

CARMEN J CORRALL II, MD
5700 100TH ST SW STE 510
LAKEWOOD, WA98499-2767
 Phone: 253-459-6060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CARMEN J CORRALL II · (Male)

NPI Number 1578507042
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2006
Last updated 01/14/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00041929
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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