Individual
DR. JAMES DALE RIFENBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1802 SO. YAKIMA AVE, #202, TACOMA, WA 98405
(253) 572-7120
(253) 572-1071
Mailing address
1802 SO. YAKIMA AVE, #202, TACOMA, WA 98405
(253) 572-7120
(253) 572-1071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00021615
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103427
L&I
WA
05
—
1093863
—
WA
01
—
RI5641
REGENCE
WA
Enumeration date
08/08/2006
Last updated
07/08/2007
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