Individual
DENNIS G SCHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVENUE, SUITE 200, 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
2085R0202X
Diagnostic Radiology Physician
00015534
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00015534
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300022481
RR MEDICARE TRA
WA
01
—
40714
LABOR AND INDUSTRIES/WC TRA
WA
01
—
7252SC
REGENCE BLUE SHIELD UNION AVENE OPEN
WA
05
—
8211104
—
WA
01
—
AB36531
MEDICARE PIN TRA KING COUNTY
WA
01
—
SC3320
REGENCE BLUE SHIELD TRA
WA
Enumeration date
11/17/2006
Last updated
01/26/2010
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