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Individual

DR. RYAN PAGANELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Mailing address
PO BOX 5215, TACOMA, WA 98415-0215
(253) 627-2303

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD 60211774
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/06/2008
Last updated
05/31/2011
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