Individual
DR. GEORGE TIAN-YI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402-1911
(253) 761-4200
(253) 383-3553
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
4301083789
MI
2085R0202X
Diagnostic Radiology Physician
200800524
NC
2085R0202X
Diagnostic Radiology Physician
Primary
MD60071506
WA
390200000X
Student in an Organized Health Care Education/Training Program
4301083789
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8882905
PTAN-UAOM
WA
Enumeration date
03/20/2007
Last updated
09/03/2024
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