Individual
DENNIS OLIVER WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402-1911
(253) 761-4200
(253) 383-3553
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD00045531
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00045531
WA
2085R0204X
Vascular & Interventional Radiology Physician
MD00045531
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252008
LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
WA
01
—
0252024
LABOR AND INDUSTRIES-UNION AVENUE OPEN MRI
WA
01
—
G8882797
PTAN-TRA PIERCE CO
WA
01
—
G8882798
PTAN-TRA KING CO
WA
01
—
G8882799
PTAN-UAOM
WA
Enumeration date
08/31/2006
Last updated
09/03/2024
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