Individual
JEFFREY L. CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 S UNION AVE, B2006, TACOMA, WA 98405-1702
(253) 301-5120
Mailing address
1901 S UNION AVE, B2006, TACOMA, WA 98405-1702
(253) 301-5120
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
MD00031405
WA
207VG0400X
Gynecology Physician
MD00031405
WA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
MD00031405
WA
Other
Enumeration date
02/27/2006
Last updated
11/26/2013
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