Doctor Name: | ANDREW S HWANG |
NPI Number: | 1497759302 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., |
License Number: | 27252 |
Business Practice Address: | 2201 S 19th St Ste 201 Tacoma, WA - 984052961 |
Business Phone Number: | 2536278680 |
Business Fax Number: | 2536272542 |
Mailing Address: | 2201 S 19th St, Ste 201 TACOMA |
State: | WA |
Postal Code: | 984052961 |
Phone Number: | 2536278680 |
Fax Number: | 2536272542 |
NPI Enumeration Date: | 06/08/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/25/2006 |
NPI Reactivation Date: | 04/06/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 27252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |