NPI 1104884956

Louis David Potyondy, MD

Practitioner Plastic Surgery Physician Tacoma, WA

Practice location

Address: 801 Pacific Ave, Tacoma, WA 98402-5209
Phone: (229) 589-2588

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence MD 60288108 (WA)

Other Plastic Surgery providers in Washington →

Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 057743 (GA)

Registry record

NPI: 1104884956
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 May 2006
Record last updated: 11 Sep 2012

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.