Organization
BROOKDALE MEDICAL ASSOCIATES INC
Active
Organization
BROOKDALE MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHONG C KIM MD (OWNER)
(253) 535-5552
Entity
Organization
Contact information
Practice address
205 117TH ST S, TACOMA, WA 98444-5409
(253) 535-5552
(253) 535-5684
Mailing address
205 117TH ST S, TACOMA, WA 98444-5409
(253) 535-5552
(253) 535-5684
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00031125
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1084490
—
WA
Enumeration date
05/14/2008
Last updated
08/02/2010
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