Individual
JEROME L. BILLINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9040 REID ST, TACOMA, WA 98431-1100
(253) 968-2252
Mailing address
9040 REID ST, TACOMA, WA 98431-1100
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
MD00014913
WA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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