Individual
DOMINIC MARIO FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 YAKIMA AVE STE 104, TACOMA, WA 98405-5303
(253) 426-6272
(253) 426-4060
Mailing address
1802 YAKIMA AVE STE 104, TACOMA, WA 98405-5303
(253) 426-6272
(253) 426-4060
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
29874
NE
208600000X
Surgery Physician
29874
NE
208600000X
Surgery Physician
Primary
MD61441574
WA
208600000X
Surgery Physician
T8816
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2048691
—
WA
Enumeration date
03/23/2015
Last updated
04/01/2025
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