Individual
DR. MARY WHITE STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 6TH AVE, TACOMA, WA 98405-4682
(253) 555-5555
Mailing address
915 6TH AVE, TACOMA, WA 98405-4682
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
75892
TN
2084N0400X
Neurology Physician
MD61401511
WA
208M00000X
Hospitalist Physician
75892
TN
Other
Enumeration date
04/23/2018
Last updated
12/23/2025
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