Individual
DR. STEVEN JAY KONICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-2462
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-2462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32461
WA
Other
Enumeration date
01/26/2006
Last updated
03/20/2019
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