Healthcare Provider Details

I. General information

NPI: 1811425457
Provider Name (Legal Business Name): PERTTI TOIVOLA PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BERT TOIVOLA PHD

II. Dates (important events)

Enumeration Date: 05/26/2017
Last Update Date: 05/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2617 E L ST STE A
TACOMA WA
98421-2205
US

IV. Provider business mailing address

12015 E 46TH AVE STE 250
DENVER CO
80239-3107
US

V. Phone/Fax

Practice location:
  • Phone: 253-552-1551
  • Fax: 253-552-1549
Mailing address:
  • Phone: 855-895-8090
  • Fax: 303-371-0345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QL0900X
TaxonomyLaboratory Management Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: