Individual
DEO SAMSON MACABIO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3124 S 19TH ST, SUITE 320, TACOMA, WA 98405-2433
(253) 301-5100
(253) 301-5101
Mailing address
3124 S 19TH ST, SUITE 320, TACOMA, WA 98405-2433
(253) 301-5100
(253) 301-5101
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10005222
WA
Other
Enumeration date
09/14/2007
Last updated
06/27/2014
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