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Dr. Carson Clabeaux
General Practice Physician in Tacoma, Washington
NPI 1629661541

Carson Clabeaux is a General Practice Physician based in Tacoma, WA. Carson Clabeaux practices in Tacoma, WA. The NPI Number for Carson Clabeaux is 1629661541 and holds a License No. 81049-21 (Washington).

The current practice location address for Carson Clabeaux is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-0117.

Location: 9040 Jackson Ave, Tacoma, WA, 98431-0001
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Provider Profile Details
NPI Number
1629661541
Provider Name
Carson Clabeaux
Credential
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Ave, Tacoma, WA, 98431-0001
Phone Number
253-968-0117
Fax Number
Provider Enumeration Date
02/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-0001
Phone Number
253-968-0117
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-0001
Phone Number
253-968-0117
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
81049-21 (Wisconsin)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
81049-21 (Wisconsin)
Definition
Definition to come...
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