=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619948767
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTOPHER ROBERT TATRO MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/27/2006
-----------------------------------------------------
Last Update Date | 02/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | ONE BOONE ROAD NAVAL HOSPITAL BREMERTON
-----------------------------------------------------
City | BREMERTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98312
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-475-5199
-----------------------------------------------------
Fax | 360-475-4465
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | WALTER REED NATIONAL MILITARY MEDICAL CENTER 4494 PALMER RD N
-----------------------------------------------------
City | BETHESDA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20889
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-295-4810
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 01058772A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------