Individual
MANUEL GUILLERMO IREGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1708 YAKIMA AVE, SUITE 300, TACOMA, WA 98405-5307
(253) 572-5140
(253) 272-0419
Mailing address
1708 YAKIMA AVE, SUITE 300, TACOMA, WA 98405-5307
(253) 572-5140
(253) 272-0419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41593
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
41593
WA
207RP1001X
Pulmonary Disease Physician
Primary
01082171A
IN
207RP1001X
Pulmonary Disease Physician
41593
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110241336
RR MEDICARE
WA
05
—
8317380
—
WA
Enumeration date
08/25/2005
Last updated
05/28/2019
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