Individual
DR. JULIE A KOMAROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10004 204TH AVE E, #3400, BONNEY LAKE, WA 98391-6539
(253) 848-5951
(253) 845-7073
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 286-4112
(253) 845-7073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00021737
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016963
—
WA
Enumeration date
07/24/2006
Last updated
01/25/2016
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