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Zachary Tegen

Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist in Tacoma, WA. Individual provider (NPI-1).

NPI number1962003111
StatusActive
Last updated in NPPESNov 4, 2020

Details

NPI
1962003111
Entity type
Individual (NPI-1)
Name
Zachary Tegen
Sex
Male
Sole proprietor
No
Enumeration date
Nov 4, 2020
Certification date
Nov 4, 2020
Last updated
Nov 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246XC2901X Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist00118967WAYes

Practice location

9040a Jackson Ave
Tacoma, WA 98431-0001

Phone 253-968-0088

Mailing address

3123 Hanna Dr Ne
Lacey, WA 98516-7169

Phone 714-488-0806

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