Individual
ERIN KALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
521 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4238
(253) 403-2900
Mailing address
521 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4238
(253) 403-2900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60024713
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0290202
L&I
WA
05
—
2002918
—
WA
Enumeration date
07/07/2008
Last updated
02/27/2012
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