Individual
SIMEON WESLEY ASHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-3004
(253) 968-3885
Mailing address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 985-1711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP00002255
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0226246
LIWA
WA
01
—
0226247
LIWA
WA
01
—
0226248
LIWA
WA
01
—
5517AS
BSWA
WA
05
—
8497836
—
WA
Enumeration date
01/25/2006
Last updated
03/14/2024
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