Individual
TRISTAN M. MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
832 GEORGIANA ST, PORT ANGELES, WA 98362-3512
(360) 457-0804
(360) 457-7023
Mailing address
832 GEORGIANA ST, PORT ANGELES, WA 98362-3512
(360) 457-0804
(360) 457-7023
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00038097
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD00038097
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200040914
RAILROAD MEDICARE
—
05
—
8250219
—
WA
Enumeration date
05/20/2006
Last updated
04/20/2016
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