Organization
DEBORAH J AYARS MD
Active
Other names
Commencement Bay Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA R DUPEA (CREDENTIALING)
(253) 572-5971
Entity
Organization
Contact information
Practice address
1901 S UNION AVE, #B1010, TACOMA, WA 98405
(253) 572-5971
(253) 572-5987
Mailing address
1901 S UNION AVE, #B1010, TACOMA, WA 98405
(253) 572-5971
(253) 572-5987
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD00026169
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7078967
—
WA
01
—
PO7221
REGENCE BLUESHIELD
WA
Enumeration date
10/27/2006
Last updated
09/11/2008
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