Healthcare Provider Details

I. General information

NPI: 1376547794
Provider Name (Legal Business Name): JAMES PHILLIP RICE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 11/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27121 174TH PL SE #201
COVINGTON WA
98042-4939
US

IV. Provider business mailing address

315 MARTIN LUTHER KING JR WAY
TACOMA WA
98405-4234
US

V. Phone/Fax

Practice location:
  • Phone: 253-545-5840
  • Fax: 253-639-2030
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD00027383
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: