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Individual

JAMES D PISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1911 SW CAMPUS DR., #107, FEDERAL WAY, WA 98023
(253) 839-0170
Mailing address
1911 SW CAMPUS DR # 107, FEDERAL WAY, WA 98023-6473

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1493
AK
2085R0202X
Diagnostic Radiology Physician
Primary
MD00017852
WA
208D00000X
General Practice Physician
MD00017825
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8396525
WA
Enumeration date
10/27/2005
Last updated
03/10/2017
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