Individual
CLIFTON TY BAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1708 YAKIMA AVE STE 300, TACOMA, WA 98405-5309
(253) 363-8700
(253) 363-8759
Mailing address
1708 YAKIMA AVE STE 300, TACOMA, WA 98405-5309
(253) 363-8700
(253) 363-8759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00046177
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00046177
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00046177
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005588
—
WA
05
—
8449985
—
WA
01
—
P00333773
RAILROAD MEDICARE
WA
Enumeration date
05/04/2006
Last updated
12/01/2020
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