Healthcare Provider Details

I. General information

NPI: 1952605123
Provider Name (Legal Business Name): DAVID JOEL HARROWE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2011
Last Update Date: 01/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3629 S D ST MAILSTOP 421
TACOMA WA
98418-6813
US

IV. Provider business mailing address

3629 S D ST MAILSTOP 421
TACOMA WA
98418-6813
US

V. Phone/Fax

Practice location:
  • Phone: 253-798-7388
  • Fax: 253-798-7666
Mailing address:
  • Phone: 253-798-7388
  • Fax: 253-798-7666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberMD 00023449
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: