NPI 1508210287
Carl Mayberry, MBACRAARRTRCT
Practice location
- Address
- Madigan Army Medical Ctr 9040 Jackson Ave, Tacoma, WA 98431-1100
- Phone
- (253) 968-2147
- Fax
- (253) 968-2024
- Mailing address
- Madigan Army Medical Ctr 9040 Jackson Ave Attn:mchj-Clq-C, Tacoma, WA 98431-1100
Registered specialties
Radiologic Technologist
Primary
Registry record
- NPI
- 1508210287
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Apr 2016
- Record last updated
- 19 Apr 2016
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.