Individual
WESLEY SAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3315 S 23RD ST, SUITE 200, TACOMA, WA 98405-1605
(253) 272-9994
(253) 572-0468
Mailing address
3315 S 23RD ST, SUITE 200, TACOMA, WA 98405-1605
(253) 272-9994
(253) 572-0468
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD60632796
WA
208VP0014X
Interventional Pain Medicine Physician
Primary
MD60632796
WA
Other
Enumeration date
05/02/2011
Last updated
11/28/2016
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