Individual
PAUL E DEBUSSCHERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1033 REGENTS BLVD, SUITE 102, FIRCREST, WA 98466-6045
(253) 564-1115
(253) 565-4552
Mailing address
1033 REGENTS BLVD, SUITE 102, FIRCREST, WA 98466-6045
(253) 564-1115
(253) 565-4552
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00035432
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8230740
DSHS NUMBER
WA
Enumeration date
12/30/2005
Last updated
01/15/2014
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