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Individual

ADAM CORSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60022511
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0253284
STATE L&I
WA
01
P00836528
RAILROAD
WA
Enumeration date
08/19/2006
Last updated
12/07/2010
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