person
Dr. Robert William Enquist, MD
Military Health Care Provider in Tacoma, Washington
NPI 1194790766

Robert William Enquist is a Military Health Care Provider based in Steilacoom, WA. Robert William Enquist practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Robert William Enquist is 1194790766 and holds a License No. MD00012919 (Washington).

The current practice location address for Robert William Enquist is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-581-2775 and via fax at 253-581-2776.

Location: 9040 Jackson Ave, Tacoma, WA, 98388-1719
person
Provider Profile Details
NPI Number
1194790766
Provider Name
Robert William Enquist
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Ave, Tacoma, WA, 98388-1719
Phone Number
253-581-2775
Fax Number
253-581-2776
Provider Enumeration Date
02/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00012919 01 WA US ARMY
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-1719
Phone Number
253-581-2775
Fax Number
253-581-2776
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-1719
Phone Number
253-581-2775
Fax Number
253-581-2776
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
MD00012919 (Washington)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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