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Individual

DR. GEORGE DAVID AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1043
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1043

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00019260
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019635
MT
05
8100034
WA
Enumeration date
02/01/2007
Last updated
05/21/2008
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