NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1205238243 | ANUSEWICZ | KATE |   |   | MADAGAN ARMY MEDICAL CTR 9040 JACKSON AVE | TACOMA | WA | 984311100 |
1164768008 | AVANT | KELLY |   |   | WOMACK ARMY MEDICAL CTR | FORT BRAGG | NC | 283100001 |
1881799591 | DAVIDSON | JOHN | JOSEPH |   | 9040A JACKSON AVE JOINT BASE LEWIS-MCCHORD SUITE #100 | TACOMA | WA | 984310001 |
1114479441 | HARLESS | JOHN |   |   | 9040 JACKSON AVE | TACOMA | WA | 984310001 |
1174552343 | HATLER | BRIAN | SCOT |   | 35016 27TH AVE E | ROY | WA | 985808868 |
1477734093 | HEFFLEFINGER | KATARZYNA |   |   | 126 MISSOURI AVE | FORT LEONARD WOOD | MO | 65473 |
1669781894 | MONFRE | THOMAS |   |   | 32717 1ST AVE S STE 9 | FEDERAL WAY | WA | 980035758 |
1790095446 | MRAZ | JAMIE | STOTTS |   | 9040 A JACKSON AVE | TACOMA | WA | 984311100 |
1184238479 | NASH | MARK |   |   | 8870 EDGEWATER DR SW | LAKEWOOD | WA | 984991975 |
1467762476 | SZYMANEK | ELIZA | BLACKFORD |   | 9040 JACKSON AVE | TACOMA | WA | 984310001 |