Scott Randall Henneman M.D.

NPI 1013173814 - Radiology - 2085N0700X

NPI Details
NPI 1013173814
Gender Male
Enumeration Date 07/31/2008
Last Updated 12/12/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1201 PACIFIC AVE
SUITE 400
TACOMA WA, 98402-4301, US
Phone (253) 583-8651
Fax
Business Location
4914 116TH PL SE
BELLEVUE WA, 98006-2729, US
Phone (917) 214-0201
Fax
Toxanomy
Taxonomy Code 2085N0700X
License State Washington
License Number MD 60392348
Remove 1013173814 NPI Number
 

According to our database, Dr. Scott Randall Henneman M.D. NPI is 1013173814, taxonomy code is 2085N0700X and license number is MD 60392348, license state is located at Washington. Scott Randall Henneman M.D. physically located at 1201 Pacific Ave, Tacoma WA, 98402-4301. NPI Number Scott Randall Henneman M.D. has the Individual type.

Sponsored links

1013173814 NPI number is provided on an as is basis without warranty of any kind. 1013173814 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Randall Henneman M.D. are for informational purposes only.