Individual
DR. ROBERT A MAZZOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-3744
(253) 968-3278
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON STR, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD00035542
WA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
MD00035542
WA
Other
Enumeration date
02/14/2006
Last updated
04/12/2019
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