Individual
DR. VITALIY P NATKHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1802 YAKIMA AVE STE 104, TACOMA, WA 98405-5303
(253) 426-6272
(253) 426-4060
Mailing address
1802 YAKIMA AVE STE 104, TACOMA, WA 98405-5303
(253) 426-6272
(253) 426-4060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2023008400
MO
208600000X
Surgery Physician
OP61548249
WA
2086S0127X
Trauma Surgery Physician
Primary
OP61548249
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2294763
—
WA
Enumeration date
04/28/2016
Last updated
05/02/2025
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