Individual
MOHAMMED HOSAM ALDIN BACCORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 3RD ST SE, STE 300, PUYALLUP, WA 98372-4511
(253) 697-4740
Mailing address
1701 3RD ST SE, STE 300, PUYALLUP, WA 98372-4511
(253) 697-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00049133
WA
207RN0300X
Nephrology Physician
Primary
MD00049133
WA
Other
Enumeration date
03/20/2007
Last updated
12/21/2011
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