Individual
OFELYA GEVORGYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Mailing address
1650 W HARRISON ST STE 466, CHICAGO, IL 60612-3800
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD60954239
WA
390200000X
Student in an Organized Health Care Education/Training Program
036.141330
IL
Other
Enumeration date
07/15/2014
Last updated
07/02/2019
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