Individual
DR. MARCUS C PONCE DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVENUE, TACOMA, WA 98431-1100
(253) 968-6478
(253) 968-9054
Mailing address
MADIGAN ARMY MEDICAL CTR 90390 GARDNER LOOP RD, TACOMA, WA 98431-0001
(253) 968-6478
(253) 968-9054
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
050245
GA
2084N0400X
Neurology Physician
Primary
MD61012423
WA
Other
Enumeration date
01/29/2007
Last updated
10/22/2020
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