Individual
JANA STRUCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
(253) 596-3301
Mailing address
30809 1ST AVE S, FEDERAL WAY, WA 98003-4074
(253) 839-2030
(253) 839-1071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60484342
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038557
—
WA
Enumeration date
03/23/2011
Last updated
05/28/2021
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