# GARY W NICKEL, MD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427311869
- **Authorized official:** DR. GARY WAYNE NICKEL MD (PHYSICIAN)
- **Authorized official phone:** (253) 572-4664

## Contact information

- **Practice address:** 222 N J ST, SUITE A, TACOMA, WA 98403-1984
- **Practice address phone:** (253) 572-4664
- **Practice address fax:** (253) 591-0097
- **Mailing address:** 222 N J ST, SUITE A, TACOMA, WA 98403-1984
- **Mailing address phone:** (253) 572-4664
- **Mailing address fax:** (253) 591-0097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2012
- **Last updated:** 06/20/2012