Organization
J. DALE HOWARD, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DALE HOWARD MD. (OWNER)
(253) 759-4881
Entity
Organization
Contact information
Practice address
1919 N PEARL ST STE C3, TACOMA, WA 98406-2490
(253) 759-4881
(253) 759-4692
Mailing address
1919 N PEARL ST STE C3, TACOMA, WA 98406-2490
(253) 759-4881
(253) 759-4692
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
MD00014521
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000515
MEDICARE ID #1000515
WA
Enumeration date
04/11/2017
Last updated
04/11/2017
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