Organization
FRANCISCAN MEDICAL GROUP
Active
Other names
FMG-Carlos E. Moravek, MD (GH)
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN A. FIELD (CHIEF MEDICAL OFFICER)
(253) 680-4009
Entity
Organization
Contact information
Practice address
1624 S. I ST., STE 205, TACOMA, WA 98405-5000
(253) 426-4520
Mailing address
1624 S. I ST., STE 205, TACOMA, WA 98405-5000
(253) 426-4520
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0245099
STATE L&I
WA
01
—
0245100
STATE L&I
WA
01
—
P00730570
RAILROAD
WA
Enumeration date
01/30/2009
Last updated
12/10/2010
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