Individual
CHUCK DONALD MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402-1911
(253) 680-3372
(253) 383-3553
Mailing address
1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402-1911
(253) 680-3372
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00041978
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001250
—
WA
05
—
8353732
—
WA
Enumeration date
07/12/2006
Last updated
08/30/2024
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