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NPI Code Detail

MEDICARE: ADRIENNE A. CYGNAR MD

MEDICARE: ADRIENNE A. CYGNAR 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 PhysicianMD60563159WA

General Provider Information

NPI Number : 1205196565
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIENNE A. CYGNAR MD
Provider Business Mailing Address
First Line : 4215 49TH AVE NE
Second Line :
City : TACOMA
State : WA
Zip : 98422-2421
Country : US
Telephone Number : 253-459-7700
Fax Number :
Provider Business Practice Location Address
First Line : 4215 49TH AVE NE
Second Line :
City : TACOMA
State : WA
Zip : 98422-2421
Country : US
Telephone Number : 253-459-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2012
Last Update Date : 09/22/2015

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