MEDICARE: RITA KOESTER 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	208000000X	Pediatrics Physician	MD00025527	WA

General Provider Information

NPI Number	:	1528038460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA KOESTER MD

Provider Business Mailing Address
First Line	:	9040 JACKSON AVENUE
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98431-0001
Country	:	US
Telephone Number	:	253-982-9154
Fax Number	:

Provider Business Practice Location Address
First Line	:	9040 JACKSON AVENUE
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98431-1303
Country	:	US
Telephone Number	:	253-982-9154
Fax Number	:

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	03/12/2019

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