Stanford Prescott Md Pllc

LBN: Stanford Prescott Md Pllc
Stanford Prescott Md Pllc is an health care organization with primary practice located at 1901 S Union Ave , Tacoma WA 98405-1702. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Stanford Prescott Md Pllc can be contacted via phone (253) 459-6200, or through Prescott, Stanford via phone (253) 588-7911.

Contact Information

Primary practice address
1901 S Union Ave Tacoma WA 98405-1702
Fax:
Website:
Authorized official contact:
Name: Prescott, Stanford Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00030232 Washington

Profile Details

NPI number 1740494921
LBN Legal business name Stanford Prescott Md Pllc
DBA Doing business as
Authorized official Prescott, Stanford Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Oct 9th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740494921 NPPES
Washington Other 7848PR BLUE CROSS
Washington MEDICAID 1118132 BLUE CROSS

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