Individual
HEATHER M JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405
(253) 403-1050
(626) 623-1227
Mailing address
PO BOX 661448, ARCADIA, CA 91066-1448
(626) 447-0296
(626) 623-1227
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
29891
SC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD60170287
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031508
—
WA
05
—
298911
—
SC
Enumeration date
07/24/2007
Last updated
12/02/2019
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