Individual
DR. JAIME WALTON ALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
Mailing address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101250839
VA
2085R0202X
Diagnostic Radiology Physician
MD184316
OR
2085R0204X
Vascular & Interventional Radiology Physician
0101250839
VA
2085R0204X
Vascular & Interventional Radiology Physician
MD184316
OR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD60775318
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467681957
—
VA
Enumeration date
07/06/2009
Last updated
08/29/2024
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