Individual
ROBERT R LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
2085N0700X
Neuroradiology Physician
00016031
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00D16031
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119258
LABOR AND INDUSTRIES/WC UNION AVENUE OPEN
WA
01
—
300020214
RR MEDICARE TRA
WA
01
—
40719
LABOR AND INDUSTRIES/WC TRA
WA
05
—
8388506
—
WA
01
—
AB36539
MEDICARE PIN TRA KING COUNTY
WA
01
—
LI2582
REGENCE BLUE SHIELD TRA
WA
01
—
LI7252
REGENCE BLUE SHIELD UNION AVENUE OPEN
WA
Enumeration date
11/16/2006
Last updated
01/26/2010
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