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NPI Code Detail

MEDICARE: MARSE L MCNAUGHTON MD

MEDICARE:   MARSE L MCNAUGHTON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician15856WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073519492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSE L MCNAUGHTON MD
Provider Business Mailing Address
First Line : 3733 S THOMPSON AVE
Second Line :
City : TACOMA
State : WA
Zip : 98418-5013
Country : US
Telephone Number : 253-472-4473
Fax Number : 253-474-3056
Provider Business Practice Location Address
First Line : 3733 S THOMPSON AVE
Second Line :
City : TACOMA
State : WA
Zip : 98418-5013
Country : US
Telephone Number : 253-472-4473
Fax Number : 253-474-3056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 10/10/2024

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Directions to “ MARSE L MCNAUGHTON MD” Practice Location

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