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Dr. Scott Randall Henneman, MD
Diagnostic Radiology Physician in Tacoma, Washington
NPI 1013173814

Scott Randall Henneman is a Diagnostic Radiology Physician based in Tacoma, WA and is specialized in Diagnostic Radiology. Scott Randall Henneman practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Scott Randall Henneman is 1013173814 and holds a License No. MD60392348 (Washington).

The current practice location address for Scott Randall Henneman is 1304 Fawcett Ave Ste 100, Tacoma, WA and can be reached out via phone at 253-761-4200 and via fax at 253-761-4201.

Location: 1304 Fawcett Ave Ste 100, Tacoma, WA, 98402-1900
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Provider Profile Details
NPI Number
1013173814
Provider Name
Scott Randall Henneman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1304 Fawcett Ave Ste 100, Tacoma, WA, 98402-1900
Phone Number
253-761-4200
Fax Number
253-761-4201
Provider Enumeration Date
07/31/2008
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2029105 05 WA
institution
Provider Business Practice Location Address Details
Address
1304 Fawcett Ave Ste 100
City
State
Zip
98402
Phone Number
253-761-4200
Fax Number
253-761-4201
person
Provider Business Mailing Address Details
Address
1304 Fawcett Ave Ste 100
City
State
Zip
98402
Phone Number
253-761-4200
Fax Number
253-761-4201
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
MD187713 (Oregon)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD60392348 (Washington)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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