Individual
JOHN ANTHONY VACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3124 S 19TH ST, STE 320, TACOMA, WA 98405-2433
(253) 301-5100
(253) 301-5101
Mailing address
3124 S 19TH ST, STE 320, TACOMA, WA 98405-2433
(253) 301-5100
(253) 301-5101
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
600180340
WA
Other
Enumeration date
10/19/2006
Last updated
12/28/2016
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