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Individual
DR. DEDRA RENEE TOLSON
Active
Individual
DR. DEDRA RENEE TOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00038661
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025694
LABOR & INDUSTRY
WA
01
—
64321U
REGENCE BLUE SHIELD
WA
05
—
8263923
—
WA
Enumeration date
06/20/2006
Last updated
04/01/2021
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