NPI 1003882978

Melodie M Icasiano, MD

Practitioner Obstetrics & Gynecology Physician Tacoma, WA

Practice location

Address: Madigan Army Medical Center Bldg 9040 Fitzsimmons Dr., Tacoma, WA 98431-0001
Phone: (253) 968-1740
Mailing address: 100 Lancaster Ave Mob East Suite 158, Wynnewood, PA 19096-3427

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence MD00042886 (WA)

Other Obstetrics & Gynecology providers in Washington →

Registry record

NPI: 1003882978
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2006
Record last updated: 22 Apr 2016

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.