Individual
LEE A ANTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVENUE, TACOMA, WA 98431-8151
(253) 968-2462
Mailing address
9040 JACKSON AVENUE, TACOMA, WA 98431-0001
(253) 968-2462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00025946
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0168090
LABOR & INDUSTRIES
WA
01
—
110245917
RAILROAD MEDICARE UPIN
—
01
—
GAB34522
MEDICARE PTAN
—
Enumeration date
07/07/2005
Last updated
03/20/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us