Organization
JOSEPH F JASPER MD, INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH F JASPER MD (PROVIDER/OWNER)
(253) 588-7911
Entity
Organization
Contact information
Practice address
1901 S UNION AVE, TACOMA, WA 98405-1702
(253) 588-7911
(253) 984-6774
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00020206
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00020206
MEDICAL LICENSE
—
Enumeration date
09/10/2010
Last updated
09/10/2010
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