Individual
GLEN PIGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3612 S 11TH ST, TACOMA, WA 98405-2126
(229) 539-0742
Mailing address
3612 S 11TH ST, TACOMA, WA 98405-2126
(229) 539-0742
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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