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Edson Gerry Ponraj, MD
Emergency Medicine Physician in Lakewood, Washington
NPI 1396783940

Edson Gerry Ponraj is a Emergency Medicine Physician based in Federal Way, WA. Edson Gerry Ponraj practices in Lakewood, WA and has the professional credentials of MD. The NPI Number for Edson Gerry Ponraj is 1396783940 and holds a License No. MD00043988 (Washington).

The current practice location address for Edson Gerry Ponraj is 11315 Bridgeport Way Sw, Lakewood, WA and can be reached out via phone at 253-589-8700 and via fax at 253-581-6588.

Location: 11315 Bridgeport Way Sw, Lakewood, WA, 98003-6328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396783940
Provider Name
Edson Gerry Ponraj
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11315 Bridgeport Way Sw, Lakewood, WA, 98003-6328
Phone Number
253-589-8700
Fax Number
253-581-6588
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1186PO 01 WA BSWA
8400749 05 WA
0186779 01 WA LIWA
0186778 01 WA LIWA
2165PO 01 WA BSWA
institution
Provider Business Practice Location Address Details
Address
11315 Bridgeport Way Sw
City
Lakewood
State
Washington
Zip
98499-3004
Phone Number
253-589-8700
Fax Number
253-581-6588
person
Provider Business Mailing Address Details
Address
11315 Bridgeport Way Sw
City
Lakewood
State
Washington
Zip
98499-3004
Phone Number
253-589-8700
Fax Number
253-581-6588
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
MD00043988 (Washington)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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