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Contact Information

PEDIATRIX CARDIOLOGY OF WASHINGTON, P.C.
314 MARTIN LUTHER KING JR WAY
STE. 303
TACOMA, WA98405-4250
 Phone: 253-396-4868
 Fax: 253-396-4870
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIX CARDIOLOGY OF WASHINGTON PC · (Female)

NPI # 1164445367
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2006
Last updated 11/05/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • AK Medicaid MDG20WA
  • ID Medicaid 1164445367
  • WA Medicaid 1164445367
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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