Individual
SARAH MAE C IREGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1717 S J ST STE 336, TACOMA, WA 98405-4933
(534) 266-3412
(253) 426-6344
Mailing address
1717 S J ST STE 336, TACOMA, WA 98405-4933
(534) 266-3412
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00047138
WA
207RI0200X
Infectious Disease Physician
MD00047138
WA
208M00000X
Hospitalist Physician
MD00047138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222759
STATE L&I
WA
05
—
1018686
—
WA
Enumeration date
10/13/2006
Last updated
09/09/2021
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