Individual
CLYDE R ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2420 S UNION AVE STE 240, TACOMA, WA 98405-1323
(253) 459-6166
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 459-6166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00039054
WA
Other
Enumeration date
07/07/2006
Last updated
09/08/2010
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