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Individual

ELLER C MANLAPAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1291
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1291

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00043329
WA
208M00000X
Hospitalist Physician
MD00043329
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1022454
WA
Enumeration date
08/02/2006
Last updated
05/19/2021
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