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Individual

BARRY WELED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
316 MARTIN LUTHER KING JR WAY STE 401, TACOMA, WA 98405-4266
(253) 572-5140
(253) 272-0419
Mailing address
316 MARTIN LUTHER KING JR WAY STE 401, TACOMA, WA 98405-4266
(253) 572-5140
(253) 272-0419

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00014805
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD00014805
WA
207RP1001X
Pulmonary Disease Physician
MD00014805
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1612902
WA
01
756293195
RR MEDICARE
WA
Enumeration date
08/25/2005
Last updated
06/16/2010
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