Individual
DR. PAUL RICKIE BARNETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
(253) 382-2091
Mailing address
12912 116TH STREET CT E, PUYALLUP, WA 98374-5039
(253) 770-3637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00031249
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48572
LABOR & INDUSTRIES
WA
05
—
8149585
—
WA
01
—
BA9995
REGENCE
WA
01
—
TRICARE
98404A007
WA
Enumeration date
06/14/2006
Last updated
07/08/2007
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