James M Komorous MD Ps
Dermatology in Tacoma, WA. Organization (NPI-2).
NPI number1528060902
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1528060902
- Entity type
- Organization (NPI-2)
- Legal business name
- James M Komorous MD Ps
- Organization subpart
- No
- Enumeration date
- Aug 15, 2005
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | WA | Yes |
Practice location
1901 S Union AveSte B-2003
Tacoma, WA 98405-1702
Phone 253-752-7705 · Fax 253-752-0113
Mailing address
1901 S Union AveSte B-2003
Tacoma, WA 98405-1702
Phone 253-752-7705 · Fax 253-752-0113
Authorized official
James Michael Komorous
President Of Corporation/Physician
2537527705
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