Individual
DR. DANILO VITENTE TADEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MLS(ASCP)CM
Contact information
Practice address
17700 SE 272ND ST # 440, COVINGTON, WA 98042-4951
(253) 372-7155
(253) 372-7071
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C7-0006657
DE
208000000X
Pediatrics Physician
Primary
MD61521956
WA
208000000X
Pediatrics Physician
MT213601
PA
Other
Enumeration date
05/22/2014
Last updated
12/19/2024
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