Individual
DERALD CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3619 PACIFIC AVE, TACOMA, WA 98418-7929
(253) 798-6494
(253) 798-2893
Mailing address
3619 PACIFIC AVE, TACOMA, WA 98418-7921
(253) 798-6494
(253) 798-2893
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
MD61622864
WA
Other
Enumeration date
04/04/2019
Last updated
05/06/2025
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