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Individual

BORIS GRIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D. PHD.

Contact information

Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60930858
WA
207L00000X
Anesthesiology Physician
R74908
AZ

Other

Enumeration date
04/01/2014
Last updated
08/14/2024
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