Individual
DR. DANIEL VAN ROEKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
60952368
WA
2085B0100X
Body Imaging Physician
MD60952368
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD60952368
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0423026
L&I-TRA-KING
WA
01
—
0423028
L&I-TRA-REST OF WA
WA
01
—
0423030
L&I-UNION AVENUE OPEN MRI
WA
01
—
0423032
L&I-DIAGNOSTIC IMAGING NW
WA
05
—
2133479
—
WA
Enumeration date
04/03/2014
Last updated
07/01/2020
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