NPI 1043025034

Mathias Scully, MD

Practitioner Military Health Care Provider Tacoma, WA

Practice location

Address: 9040 Jackson Ave, Tacoma, WA 98431-0001
Phone: (253) 968-2462

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

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Registry record

NPI: 1043025034
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2025
Record last updated: 8 Feb 2025

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.