Individual
TRISTAN L KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, DEPARTMENT OF EMERGENCY MEDICINE, TACOMA, WA 98431-0001
(253) 968-1250
Mailing address
MADIGAN ARMY MEDICAL CTR, DEPARTMENT OF EMERGENCY MEDICINE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23942
NE
207P00000X
Emergency Medicine Physician
Primary
60131079
WA
Other
Enumeration date
01/10/2007
Last updated
10/29/2014
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