Individual
MICHAEL CHARLES DEBERARDINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 372-7102
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 372-7102
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00042829
WA
Other
Enumeration date
09/13/2006
Last updated
09/09/2010
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