Individual
MICHAEL J TOMKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 S L ST, TACOMA, WA 98405-3720
(253) 403-1444
Mailing address
1112 6TH AVE, STE 100, TACOMA, WA 98405-4048
(253) 403-1444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00035182
WA
208000000X
Pediatrics Physician
Primary
MD00035182
WA
2080A0000X
Pediatric Adolescent Medicine Physician
MD00035172
WA
2080C0008X
Child Abuse Pediatrics Physician
MD00035182
WA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD00035182
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115903
L & I
WA
01
—
22554
GROUP HEALTH
—
01
—
8209793
CHPW
WA
05
—
8209793
—
WA
01
—
911019392
COMMERCIAL
—
01
—
TO4710
REGENCE
WA
Enumeration date
10/13/2006
Last updated
12/04/2019
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