Glen Shapiro, MD
Surgery in Tacoma, WA. Individual provider (NPI-1).
NPI number1760640411
StatusActive
Last updated in NPPESJun 14, 2021
Details
- NPI
- 1760640411
- Entity type
- Individual (NPI-1)
- Name
- Glen Shapiro
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 29, 2008
- Certification date
- Jun 14, 2021
- Last updated
- Jun 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MD 60179569 | WA | Yes |
| 208600000X | Surgery | 2010020700 | MO |
Practice location
209 Martin Luther King Jr WayTacoma, WA 98405-4265
Phone 253-596-3300
Mailing address
209 Martin Luther King Jr WayTacoma, WA 98405-4265
Phone 253-596-3300
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