Whalio Doctors

NPI 1043399975

Dustin Lee Shawcross, MD

Practitioner Emergency Medicine Physician Federal Way, WA

Practice location

Address
505 S 336th St Suite 600, Federal Way, WA 98003-5947
Phone
(800) 336-8614
Fax
(253) 838-6418
Mailing address
11567 Canterwood Blvd NW, Gig Harbor, WA 98332-5812

Registered specialties (2)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MD60062980 (WA)
Personal Emergency Response Attendant
Emergency Medical Service Providers Taxonomy 146D00000X Licence MD25749 (OR)

Registry record

NPI
1043399975
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Nov 2006
Record last updated
10 Sep 2010

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.