MEDICARE: ROBERT MICHAEL TAMURIAN 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	207X00000X	Orthopaedic Surgery Physician	C53136	CA
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	C53136	CA
3	207XX0801X	Orthopaedic Trauma Physician	C53136	CA
4	207X00000X	Orthopaedic Surgery Physician	MD60284372	WA
5	207XX0801X	Orthopaedic Trauma Physician	MD60284372	WA
6	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	MD60284372	WA
7	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	MD60284372	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4292600001	OTHER	CA	DME SUPPLIER NUMBER

General Provider Information

NPI Number	:	1558334490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT MICHAEL TAMURIAN MD

Provider Business Mailing Address
First Line	:	3124 S 19TH ST
Second Line	:	STE 340
City	:	TACOMA
State	:	WA
Zip	:	98405-2433
Country	:	US
Telephone Number	:	253-459-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3124 S 19TH ST
Second Line	:	STE 340
City	:	TACOMA
State	:	WA
Zip	:	98405-2433
Country	:	US
Telephone Number	:	253-459-7000
Fax Number	:

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

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	08/06/2012

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Directions to “ ROBERT MICHAEL TAMURIAN MD” Practice Location

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