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Individual

DR. SAMUEL JOSEPH INSALACO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
315 MARTIN LUTHER KING JR WAY, MS LB-WWP, TACOMA, WA 98405-4234
(253) 403-1043
(253) 403-1357
Mailing address
10614 90TH AVE SW, LAKEWOOD, WA 98498-3702
(253) 582-8697

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00018036
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8644908
WA
Enumeration date
02/01/2007
Last updated
05/21/2008
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