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Individual

DR. ELLIOT THOMAS MIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1608 S J ST FL 5, TACOMA, WA 98405-4930
(253) 274-7505
(253) 274-7947
Mailing address
1608 S J ST FL 5, TACOMA, WA 98405-4930
(253) 274-7505
(253) 274-7947

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
A142420
CA
207T00000X
Neurological Surgery Physician
Primary
MD61279013
WA
207T00000X
Neurological Surgery Physician
ME150080
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2213823
WA
Enumeration date
02/06/2015
Last updated
09/21/2022
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