Organization
EDUARDO S CUEVAS MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO S CUEVAS MD (OWNER)
(253) 472-8389
Entity
Organization
Contact information
Practice address
1901 S UNION AVE, STE A-114, TACOMA, WA 98405-1702
(253) 472-8389
(253) 472-4977
Mailing address
1901 S UNION AVE, STE A-114, TACOMA, WA 98405-1702
(253) 472-8389
(253) 472-4977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00029148
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058090
L&I
WA
01
—
110177643
RAILROAD MEDICARE
WA
05
—
1103142
—
WA
01
—
192744400
US DOL
WA
01
—
4232211
AETNA
WA
01
—
CU6119
REGENCE BLUE SHIELD
WA
Enumeration date
03/18/2010
Last updated
03/18/2010
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