Individual
MICHAEL DEAN SCARBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 N YAKIMA AVE, TACOMA, WA 98403-2418
(253) 691-0649
Mailing address
624 N YAKIMA AVE, TACOMA, WA 98403-2418
(253) 691-0649
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00028701
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62861
L&I
—
05
—
8129066
—
WA
01
—
SC2269
B/S REGENCE 90
—
Enumeration date
07/11/2006
Last updated
06/14/2011
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