Individual
PAUL W. PUMILIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3124 S 19TH ST # 140, TACOMA, WA 98405-2433
(253) 459-6510
Mailing address
3124 S 19TH ST # 140, TACOMA, WA 98405-2433
(253) 459-6510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2001-01597
NC
207R00000X
Internal Medicine Physician
Primary
MD6045014
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-00886
UNITED HEALTHCARE
NC
01
—
0637660001
PALMETTO GOV. BEN. SERVIC
NC
01
—
110228992
RAILROAD MEDICARE
NC
01
—
130K7
BLUE CROSS BLUE SHIELD
NC
01
—
561852981J
CIGNA
NC
05
—
89130K7
—
NC
Enumeration date
10/23/2006
Last updated
07/22/2014
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