Dr Reid D Holtzclaw-swan, MD | |
1812 S J St Ste 102, Tacoma, WA 98405-4965 | |
(253) 537-0293 | |
Not Available |
Full Name | Dr Reid D Holtzclaw-swan |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1812 S J St Ste 102, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992782288 | NPI | - | NPPES |
0281282 | Other | WA | STATE L&I |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 21316 (Alabama) | Secondary |
207R00000X | Internal Medicine | MD60212080 (Washington) | Primary |
Entity Name | Olympic Internal Medicine, Inc., P.s. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861624876 PECOS PAC ID: 1456497072 Enrollment ID: O20091012000342 |
Mailing Address | Practice Location Address |
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Dr Reid D Holtzclaw-swan, MD Po Box 5127, Everett, WA 98206-5127 Ph: (206) 860-5414 | Dr Reid D Holtzclaw-swan, MD 1812 S J St Ste 102, Tacoma, WA 98405-4965 Ph: (253) 537-0293 |
Jennifer Lee Martin, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 | |
Christen E Eidal, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1291 | |
Ms. Jessica Wai-ying Tam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6341 Fax: 253-426-6344 | |
Bryan Wilson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 612-916-8558 | |
Dr. Richard Lyle Urbon Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040a Jackson Ave, Tacoma, WA 98431 Phone: 253-968-0166 | |
Roger Jay Stegman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 9040 Reid St, Attn Mchj Qcr Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278 | |
Mohammad Qasim Baig, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1291 |