Whalio Doctors

NPI 1073618419

Michael Charles Deberardinis, MD

Practitioner Urology Physician Tacoma, WA

Practice location

Address
315 Martin Luther King Jr Way, Tacoma, WA 98405-4234
Phone
(253) 372-7102

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD00042829 (WA)

Registry record

NPI
1073618419
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Sep 2006
Record last updated
9 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.