Individual
JEFFREY LYNN DEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60604360
WA
363AM0700X
Medical Physician Assistant
Primary
PA60604360
WA
363AS0400X
Surgical Physician Assistant
PA60604360
WA
Other
Enumeration date
10/31/2014
Last updated
11/15/2024
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