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General NPI Number Information
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NPI Number | 1396750725
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Entity Type | Individual
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Provider Name | DAVID N. DESERTSPRING M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 1901 S. UNION AVENUE ALLENMORE HOSPITAL & MEDICAL CENTER
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City | TACOMA
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State | WA
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Zip | 98405
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Country | US
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Telephone | 253-459-6611
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Fax | 253-459-6244
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Provider Business Mailing Address
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Address Line | 1303 38TH AVENUE CT NW
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City | GIG HARBOR
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State | WA
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Zip | 98335-7738
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Country | US
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Telephone | 253-509-8740
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Fax | 253-509-0527
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 92143
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD 00048897
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License Number State | WA
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