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Individual

DR. ISAM DORNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 403-4532
(253) 403-1374
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(534) 034-5292
(253) 301-6529

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60123479
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD60123479
WA

Other

Enumeration date
03/28/2006
Last updated
04/11/2023
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