Individual
MRS. MUNAWAR P. MUMTAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVENUE, JBLM, WA 98431-1100
(253) 968-1484
(253) 968-3278
Mailing address
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-1100
(253) 968-1484
(253) 968-3278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00022972
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8146847
—
WA
Enumeration date
12/05/2006
Last updated
04/08/2024
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