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Individual

CARMEN JAMES CORRALL II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5700 100TH ST SW STE 510, LAKEWOOD, WA 98499-2767
(253) 459-6060
Mailing address
5700 100TH ST SW STE 510, LAKEWOOD, WA 98499-2767
(253) 459-6060

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00041929
WA
207Q00000X
Family Medicine Physician
MD00041929
WA
208000000X
Pediatrics Physician
MD00041929
WA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD00041929
WA
208D00000X
General Practice Physician
MD00041929
WA

Other

Enumeration date
06/15/2006
Last updated
01/14/2015
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