Individual
EDWARD JOSEPH LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 MARTIN LUTHER KING JR WAY, STE 401, TACOMA, WA 98405-4252
(253) 572-5140
(253) 272-0419
Mailing address
316 MARTIN LUTHER KING JR WAY, STE 401, TACOMA, WA 98405-4252
(253) 572-5140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25328
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25328
WA
207RP1001X
Pulmonary Disease Physician
25328
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290011532
RR MEDICARE
WA
05
—
8109241
—
WA
Enumeration date
08/25/2005
Last updated
03/13/2015
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