Doctor Name: | DR. PATRICIA STARR MCADAMS |
NPI Number: | 1669732673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 27469 |
Business Practice Address: | Fitzsimmons Dr Bldg 9040 Tacoma, WA - 984310001 |
Business Phone Number: | 2539680375 |
Business Fax Number: | |
Mailing Address: | Fitzsimmons Dr Bldg 9040-a, Attn: Mchj-set TACOMA |
State: | WA |
Postal Code: | 984310001 |
Phone Number: | 2539681420 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2012 |
NPI Last Update Date: | 09/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 27469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |