Individual provider · NPI-1

Mario Guzman Alinea Jr., MD

Family Medicine · Tacoma, WA

NPI number1093810459
StatusActive
Last updated in NPPESJul 26, 2011

Details

NPI
1093810459
Entity type
Individual (NPI-1)
Name
Mario Guzman Alinea Jr.
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 13, 2006
Last updated
Jul 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD00034745WAYes

Practice location

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234

Phone 253-459-6535

Mailing address

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234

Phone 253-459-6535

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