Individual
DR. ROBERT WILLIAM ENQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1719
(253) 581-2775
(253) 581-2776
Mailing address
136 CORMORANT DR, STEILACOOM, WA 98388-1719
(253) 581-2775
(253) 581-2776
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
MD00012919
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00012919
US ARMY
WA
Enumeration date
02/17/2006
Last updated
09/26/2019
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