person
Justin Burgess
Military Health Care Provider in Tacoma, Washington
NPI 1396419891

Justin Burgess is a Military Health Care Provider based in Joint Base Lewis Mcchord, WA. Justin Burgess practices in Tacoma, WA. The NPI Number for Justin Burgess is 1396419891 and holds a License No. 0810008092 (Washington).

The current practice location address for Justin Burgess is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-1110. You can also correspond with Justin Burgess through the mailing address at 9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA - 98431-1000 (mailing address contact number: 813-731-5290).

Location: 9040 Jackson Ave, Tacoma, WA, 98431-1000
person
Provider Profile Details
NPI Number
1396419891
Provider Name
Justin Burgess
Credential
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Ave, Tacoma, WA, 98431-1000
Phone Number
253-968-1110
Fax Number
Provider Enumeration Date
08/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-0001
Phone Number
253-968-1110
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-0001
Phone Number
253-968-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
0810008092 (Virginia)
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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