Individual
DREY ANTHONY PAVLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(949) 302-2102
Mailing address
3717 BEACH DR SW APT 306, SEATTLE, WA 98116-3055
(949) 302-2102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60751108
WA
Other
Enumeration date
03/27/2014
Last updated
07/21/2022
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