Individual
MR. JOHN M GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 722-2161
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 722-2161
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50001969
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057175
—
WA
Enumeration date
01/25/2006
Last updated
03/30/2021
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