Individual
DR. ANDREA RENATE MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD00043385
WA
2085B0100X
Body Imaging Physician
MD164757
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD00043385
WA
2085R0202X
Diagnostic Radiology Physician
MD164757
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0243528
LABOR AND INDUSTRIES-CAROL MILGARD BREAST CENTER
WA
01
—
0249528
LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
WA
01
—
184430
LABOR AND INDUSTRIES/WC TRA
WA
01
—
184431
LABOR AND INDUSTRIES/WC UNION AVENUE OPEN
WA
01
—
3231MA
REGENCE BLUE SHIELD TRA
WA
05
—
500671257
—
OR
01
—
7251MA
REGENCE BLUE SHIELD UNION AVENUE OPEN
WA
05
—
8411456
—
WA
01
—
8803056
MEDICARE PIN TRA KING COUNTY
WA
01
—
8949635
LABOR AND INDUSTRIES CRIME VICTIMS-CAROL MILGARD BREAST CENTER
WA
01
—
8951848
LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
WA
01
—
G8803535
PTAN-WESTERN STATE HOSPITAL
WA
01
—
G8878588
PTAN-CMBC
WA
01
—
G8882929
PTAN-MIO1
WA
01
—
G8927637
PTAN-UAOM
WA
01
—
P00689845
RR MEDICARE-CAROL MILGARD BREAST CENTER
WA
Enumeration date
11/16/2006
Last updated
08/30/2024
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