Individual
DR. MICHAEL JEREMY DELOS SANTOS CLARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-5001
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-22938
HI
208D00000X
General Practice Physician
MD-22938
HI
390200000X
Student in an Organized Health Care Education/Training Program
MD-22938
HI
Other
Enumeration date
04/26/2021
Last updated
08/23/2024
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