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Shannon Ursula Waterman, MD
General Practice Physician in Tacoma, Washington
NPI 1649279860

Shannon Ursula Waterman is a General Practice Physician based in Tacoma, WA. Shannon Ursula Waterman practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Shannon Ursula Waterman is 1649279860 and holds a License No. 025209MD00041909 (Washington).

The current practice location address for Shannon Ursula Waterman is 11225 Pacific Avenue, Tacoma, WA and can be reached out via phone at 253-536-2020 and via fax at 253-536-5327. You can also correspond with Shannon Ursula Waterman through the mailing address at 101 E 26TH STREET, TACOMA, WA - 98421 (mailing address contact number: 253-722-1540).

Location: 11225 Pacific Avenue, Tacoma, WA, 98421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649279860
Provider Name
Shannon Ursula Waterman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11225 Pacific Avenue, Tacoma, WA, 98421
Phone Number
253-536-2020
Fax Number
253-536-5327
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8505422 05 WA
41383885 05 NM
P00707652 01 MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
11225 Pacific Avenue
City
Tacoma
State
Washington
Zip
98444
Phone Number
253-536-2020
Fax Number
253-536-5327
person
Provider Business Mailing Address Details
Address
11225 Pacific Avenue
City
Tacoma
State
Washington
Zip
98444
Phone Number
253-536-2020
Fax Number
253-536-5327
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
MD00041919 (Washington)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
025209MD00041909 (Washington)
Definition
Definition to come...
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