Individual
JANA R GASOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1123 PACIFIC AVE, TACOMA, WA 98402-4303
(253) 682-6058
(253) 682-6158
Mailing address
1123 PACIFIC AVE, TACOMA, WA 98402-4303
(253) 682-6058
(253) 682-6158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60161519
WA
Other
Enumeration date
06/08/2007
Last updated
07/28/2010
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