Individual
BILLY COY BILNOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 YAKIMA AVE, SUITE 307, TACOMA, WA 98405-4499
(253) 627-1244
(253) 627-6576
Mailing address
1802 YAKIMA AVE STE 307, TACOMA, WA 98405-5305
(253) 627-1244
(253) 985-2868
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD0022247
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD00022247
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060070343
RAILROAD MEDICARE
WA
05
—
1019876
—
WA
01
—
1130BI
REGENCE
WA
01
—
1708BI
REGENCE
WA
01
—
1801BI
REGENCE
WA
01
—
1802BI
REGENCE
WA
01
—
205976
DEPARTMENT OF L&I
WA
01
—
4754BI
REGENCE
WA
05
—
8600116
—
WA
Enumeration date
01/24/2007
Last updated
12/01/2020
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