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NPI Code Detail

MEDICARE: CATRINA M. FUNK MD

MEDICARE:   CATRINA M. FUNK  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
1207V00000XObstetrics & Gynecology PhysicianMD00047923WA

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 : 1811993298
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATRINA M. FUNK MD
Provider Business Mailing Address
First Line : 315 MARTIN LUTHER KING JR WAY
Second Line : PO BOX 5299 MS 315-C2-CM
City : TACOMA
State : WA
Zip : 98405-4234
Country : US
Telephone Number : 253-403-7518
Fax Number : 253-403-4393
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 : 253-403-7518
Fax Number : 253-403-4393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 03/24/2011

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Directions to “ CATRINA M. FUNK MD” Practice Location

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