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Organization

M TAREK BAGHDADI MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY L PILKENTON (OFFICE MANAGER)
(253) 383-5628
Entity
Organization

Contact information

Practice address
1802 YAKIMA AVE, STE 300, TACOMA, WA 98405-4499
(253) 383-5628
(253) 383-5687
Mailing address
1802 YAKIMA AVE, STE 300, TACOMA, WA 98405-4499
(253) 383-5628
(253) 383-5687

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00026186
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1055185
WA
Enumeration date
04/28/2010
Last updated
04/28/2010
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