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Contact Information

MIA D DEBARROS, MD
9040 JACKSON AVENUE
JOINT BASE LEWIS-MCCHORD, WA98431-1000
 Phone: 253-968-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MIA D DEBARROS · (Female)

NPI # 1467783597
Status Active
Credentials MD
Entity Individual
Enumeration date 01/29/2010
Last updated 11/24/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 26423
  • WA License # MD60666886
  • WA Medicaid 2033450
  • MA Other 278192 MEDICAL LICENSE
  • NE Other 26423 MEDICAL LICENSE
  • WA Other 60666886 MEDICAL LICENSE
Hospital affiliation(s)
  • ST JOSEPH MEDICAL CENTER - (Acute Care)
    1717 SOUTH J STREET
    TACOMA, WA 98405
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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