Individual
NEIL R HANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVENUE, TACOMA, WA 98431-2028
(253) 968-1485
Mailing address
MADIGAN ARMY MEDICAL CENTER, NEPHROLOGY SERVICES, 9040 JACKSON AVE, TACOMA, WA 98431
(253) 968-1485
(253) 968-1188
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00041237
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242914
—
WA
05
—
1116557
—
WA
Enumeration date
06/28/2006
Last updated
08/29/2025
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