Individual provider · NPI-1

Jeffrey L. Clemons, M.D.

Urology, Urogynecology and Reconstructive Pelvic Surgery · Tacoma, WA

NPI number1396711529

StatusActive

Last updated in NPPESNov 26, 2013

Details

NPI: 1396711529
Entity type: Individual (NPI-1)
Name: Jeffrey L. Clemons
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Feb 27, 2006
Last updated: Nov 26, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2088F0040X	Urology, Urogynecology and Reconstructive Pelvic Surgery	MD00031405	WA	Yes
207VG0400X	Obstetrics & Gynecology, Gynecology	MD00031405	WA
207VF0040X	Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery	MD00031405	WA

Practice location

1901 S Union Ave
B2006
Tacoma, WA 98405-1702

Phone 253-301-5120

Mailing address

1901 S Union Ave
B2006
Tacoma, WA 98405-1702

Phone 253-301-5120

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