Individual
RAYMOND D DILWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1812 S J ST, #102, TACOMA, WA 98405-4964
(253) 552-4900
(253) 627-1886
Mailing address
1812 S J ST, #102, TACOMA, WA 98405-4964
(253) 552-4900
(253) 627-1886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00016656
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445303
—
WA
Enumeration date
02/09/2006
Last updated
07/01/2010
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