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Jon M Tippin, MD
Neurology Physician in Kalama, Washington
NPI 1073595880

Jon M Tippin is a Neurology Physician based in Brentwood, WA and is specialized in Neurology. Jon M Tippin practices in Kalama, WA and has the professional credentials of MD. The NPI Number for Jon M Tippin is 1073595880 and holds a License No. MD2019-0927 (Washington).

The current practice location address for Jon M Tippin is 768 Taylor Rd, Kalama, WA and can be reached out via phone at 615-345-5400.

Location: 768 Taylor Rd, Kalama, WA, 37027-5005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073595880
Provider Name
Jon M Tippin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
768 Taylor Rd, Kalama, WA, 37027-5005
Phone Number
615-345-5400
Fax Number
Provider Enumeration Date
11/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37261 01 IA WELLMARK BCBS
0196147 05 IA
MD2019-0927 01 NM NEW MEXICO MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
768 Taylor Rd
City
Kalama
State
Washington
Zip
98625
Phone Number
615-345-5400
Fax Number
person
Provider Business Mailing Address Details
Address
768 Taylor Rd
City
Kalama
State
Washington
Zip
98625
Phone Number
615-345-5400
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
MD2019-0927 (New Mexico)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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