Individual
MAURICIO A ESCOBAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 S L ST, TACOMA, WA 98405-3720
(253) 403-4613
Mailing address
311 S L ST, TACOMA, WA 98405-3720
(253) 403-4613
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD60067507
WA
2086S0120X
Pediatric Surgery Physician
Primary
MD60067507
WA
Other
Enumeration date
07/17/2009
Last updated
12/06/2011
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