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Organization

JON F GEFFEN DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JON F GEFFEN DO (OWNER PHYSICIAN)
(253) 572-2663
Entity
Organization

Contact information

Practice address
1515 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3933
(253) 572-2663
Mailing address
1515 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3933
(253) 572-2663

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OP00001971
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0195192
WA STATE LABOR & INDUST
WA
05
1121672
WA
Enumeration date
12/01/2006
Last updated
12/05/2007
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