Whalio Doctors

NPI 1013173814

Scott Randall Henneman, MD

Practitioner Diagnostic Radiology Physician Tacoma, WA

Practice location

Address
1304 Fawcett Ave STE 100, Tacoma, WA 98402
Phone
(253) 761-4200
Fax
(253) 761-4201
Mailing address
1304 Fawcett Ave STE 100, Tacoma, WA 98402-1900

Registered specialties (4)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD60392348 (WA)
Neuroradiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085N0700X Licence MD60392348 (WA)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD187713 (OR)
Neuroradiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085N0700X Licence MD187713 (OR)

Registry record

NPI
1013173814
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Jul 2008
Record last updated
30 Aug 2024

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.