Organization
NORTHWEST PEDIATRIC HEART SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD L TRIPPEL M.D. (MANAGING PARTNER)
(252) 272-1812
Entity
Organization
Contact information
Practice address
1901 S CEDAR ST STE 103, TACOMA, WA 98405-2302
(253) 272-1812
(253) 682-1455
Mailing address
PO BOX 5098, TACOMA, WA 98415-0098
(253) 272-1812
(253) 682-1455
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
463414001
GROUP HEALTH
WA
05
—
7099799
—
WA
Enumeration date
12/13/2006
Last updated
07/08/2008
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