Healthcare Provider Details

I. General information

NPI: 1700299286
Provider Name (Legal Business Name): SAMUEL GALIMA D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2014
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040 JACKSON AVE
TACOMA WA
98431-0001
US

IV. Provider business mailing address

9119 MIL PARK AVE
JOINT BASE LEWIS-MCCHORD WA
98433
US

V. Phone/Fax

Practice location:
  • Phone: 532-968-2252
  • Fax:
Mailing address:
  • Phone: 253-477-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1359
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: