Organization
PEDIATRIX CARDIOLOGY OF WASHINGTON, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANETTE SANDERS (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
314 MARTIN LUTHER KING JR WAY, STE. 303, TACOMA, WA 98405-4250
(253) 396-4868
(253) 396-4870
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(844) 686-2961
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164445367
—
ID
05
—
1164445367
—
WA
05
—
MDG20WA
—
AK
Enumeration date
07/26/2006
Last updated
11/05/2024
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