# MADIGAN ARMY MEDICAL CENTER

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

## Provider details

- **NPI number:** 1871703256
- **Authorized official:** LIONEL RICHARD BROUNTS MD (SURGEON)
- **Authorized official phone:** (253) 968-3105

## Contact information

- **Practice address:** 9040 REID STREET, MADIGAN ARMY MEDICAL CENTER ATTN MCHJ-EDME, TACOMA, WA 98431-0001
- **Practice address phone:** (253) 968-0354
- **Mailing address:** 18304 11TH AVENUE CT E, SPANAWAY, WA 98387-1930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 01063325A | IN | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020