Individual
NATHAN TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DEPT OF PREVENTIVE MEDICINE, BLDG 9920 B EAST HAYES ST., TACOMA, WA 98431-0001
(253) 968-4487
Mailing address
9853 WASHINGTON ST, FT LEWIS, WA 98433-1402
(253) 282-9311
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
14424
HI
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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