Organization
EXECUTIVE PSYCHIATRY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS TAMORIA (OWNER)
(425) 626-2419
Entity
Organization
Contact information
Practice address
6029 122ND PL SW, MUKILTEO, WA 98275-5578
(818) 568-4022
Mailing address
100 N HOWARD ST # 5667, SPOKANE, WA 99201-0508
(425) 626-2419
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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