Organization
SOUTH SOUND INPATIENT PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KODJABABIAN (CRO)
(253) 682-1710
Entity
Organization
Contact information
Practice address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(240) 826-6000
Mailing address
1123 PACIFIC AVE, TACOMA, WA 98402-4303
(253) 682-1710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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