Individual
DR. DOUGLAS ALLAN BADZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8919 119TH STREET CT E, PUYALLUP, WA 98373-7976
(253) 968-4479
Mailing address
8919 119TH STREET CT E, PUYALLUP, WA 98373-7976
(253) 968-4479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101102806
VA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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