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NPI Code Detail

MEDICARE: STEVEN C. BERMAN M.D.

MEDICARE: STEVEN C. BERMAN M.D.
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
1208000000XPediatrics PhysicianMD00015723WA

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 : 1629125810
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN C. BERMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 34584
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1584
Country : US
Telephone Number : 509-241-7349
Fax Number : 509-241-7628
Provider Business Practice Location Address
First Line : 9505 S STEELE ST
Second Line :
City : TACOMA
State : WA
Zip : 98444-1858
Country : US
Telephone Number : 253-597-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 10/26/2007

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