NPI 1740421460

Madigan Army Medical Center

Organisation Military Hospital Tacoma, WA

Practice location

Address: Mamc Dept of Psychology Bldg 9040 Fitzsimmons Drive, Tacoma, WA 98431-0001
Phone: (253) 968-2700
Fax: (253) 968-3731

Authorised official

Name: Joseph Etherage
Title: Deputy Chief Dept of Psychology
Phone: (253) 968-2751

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence C2245 (OR)

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Registry record

NPI: 1740421460
Entity type: Organization
NPI issued: 9 Mar 2009
Record last updated: 9 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.