Individual
DR. STACY MARIE TARANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3131
Mailing address
P.O. BOX 24783, SEATTLE, WA 98124-0783
(405) 682-3303
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A105731
CA
208000000X
Pediatrics Physician
Primary
MD60558747
WA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD60558747
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508018110
—
WA
Enumeration date
10/14/2008
Last updated
09/23/2015
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