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NPI Code Detail

MEDICARE: MS. ALMA E. CORPUZ PA-C

MEDICARE: MS. ALMA E. CORPUZ PA-C
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
1363AM0700XMedical Physician AssistantPA10003417WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437147394
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALMA E. CORPUZ PA-C
Provider Business Mailing Address
First Line : 22420 134TH PL SE
Second Line :
City : KENT
State : WA
Zip : 98042-3296
Country : US
Telephone Number : 253-854-7289
Fax Number :
Provider Business Practice Location Address
First Line : 315 MARTIN LUTHER KING JR WAY
Second Line :
City : TACOMA
State : WA
Zip : 98405-4234
Country : US
Telephone Number : 253-403-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 10/26/2020

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