Individual
DR. ANNIE KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402
(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
2085R0202X
Diagnostic Radiology Physician
Primary
MD60818213
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0387737
LNI-TRA REST OF WA
WA
01
—
0387739
LNI-TRA KING COUNTY
WA
01
—
0387742
LNI-UAOM
WA
01
—
0387743
LNI-DINW
WA
05
—
2097121
—
WA
Enumeration date
03/22/2012
Last updated
09/05/2023
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