Michael Charles Deberardinis, MD
Urology in Tacoma, WA. Individual provider (NPI-1).
NPI number1073618419
StatusActive
Last updated in NPPESSep 9, 2010
Details
- NPI
- 1073618419
- Entity type
- Individual (NPI-1)
- Name
- Michael Charles Deberardinis
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2006
- Last updated
- Sep 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | MD00042829 | WA | Yes |
Practice location
315 Martin Luther King Jr WayTacoma, WA 98405-4234
Phone 253-372-7102
Mailing address
315 Martin Luther King Jr WayTacoma, WA 98405-4234
Phone 253-372-7102
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