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Individual

SCOTT AUSTIN FRIDDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAN

Contact information

Practice address
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-1000
(253) 968-1110
(877) 874-1031
Mailing address
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-1000
(253) 968-1110
(877) 874-1031

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
307069
WA

Other

Enumeration date
10/15/2015
Last updated
10/15/2015
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