Individual
DR. DEDRA RENEE TOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MADIGAN ARMY HOSPITAL 9040 JACKSON AVE, TACOMA, WA 98431-3315
(253) 968-2252
Mailing address
3401 42ND AVE SW, SEATTLE, WA 98116-3424
(206) 992-2068
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00038661
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025694
LABOR & INDUSTRY
WA
01
—
64321U
REGENCE BLUE SHIELD
WA
05
—
8263923
—
WA
Enumeration date
06/20/2006
Last updated
04/01/2021
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