MEDICARE: RALPH M NEIGHBOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD00021915	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497751788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RALPH M NEIGHBOR MD

Provider Business Mailing Address
First Line	:	1019 PACIFIC AVE STE 300
Second Line	:	ATTN HR
City	:	TACOMA
State	:	WA
Zip	:	98402-4488
Country	:	US
Telephone Number	:	253-722-1540
Fax Number	:

Provider Business Practice Location Address
First Line	:	1708 E 44TH STREET
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98404
Country	:	US
Telephone Number	:	253-471-4553
Fax Number	:	253-284-4102

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	06/14/2012

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