Individual
DOMINICK R TOULOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4011 TALBOT RD S, SUITE 440, RENTON, WA 98055-5773
(425) 793-4702
(425) 271-5382
Mailing address
4011 TALBOT RD S, STE 440, RENTON, WA 98055-5791
(425) 793-4702
(425) 271-5382
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M000020685
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110131431
RR MEDICARE
WA
05
—
1289305
—
WA
Enumeration date
10/19/2006
Last updated
06/09/2017
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