Individual
DR. RANJY CONCHA BASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
AMERICAN LAKE VA, 9600 VETERANS DRIVE, TACOMA, WA 98493-0001
(253) 583-1168
(253) 589-4028
Mailing address
8911 LAKE STEILACOOM POINT RD SW, LAKEWOOD, WA 98498-5939
(253) 583-1168
(253) 589-4028
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
228821-1
NY
Other
Enumeration date
10/24/2006
Last updated
01/24/2013
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