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Dr. Andrea Renate Manzo, MD
Diagnostic Radiology Physician in Tacoma, Washington
NPI 1669545679

Andrea Renate Manzo is a Diagnostic Radiology Physician based in Tacoma, WA and is specialized in Diagnostic Radiology. Andrea Renate Manzo practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Andrea Renate Manzo is 1669545679 and holds a License No. MD164757 (Washington).

The current practice location address for Andrea Renate Manzo is 1304 Fawcett Ave Ste 100, Tacoma, WA and can be reached out via phone at 253-761-4200 and via fax at 253-761-4201.

Location: 1304 Fawcett Ave Ste 100, Tacoma, WA, 98401-1535
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Provider Profile Details
NPI Number
1669545679
Provider Name
Andrea Renate Manzo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1304 Fawcett Ave Ste 100, Tacoma, WA, 98401-1535
Phone Number
253-761-4200
Fax Number
253-761-4201
Provider Enumeration Date
11/16/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G8878588 01 WA PTAN-CMBC
184431 01 WA LABOR AND INDUSTRIES/WC UNION AVENUE OPEN
0243528 01 WA LABOR AND INDUSTRIES-CAROL MILGARD BREAST CENTER
3231MA 01 WA REGENCE BLUE SHIELD TRA
500671257 05 OR
7251MA 01 WA REGENCE BLUE SHIELD UNION AVENUE OPEN
8411456 05 WA
8951848 01 WA LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
G8803535 01 WA PTAN-WESTERN STATE HOSPITAL
0249528 01 WA LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
184430 01 WA LABOR AND INDUSTRIES/WC TRA
8803056 01 WA MEDICARE PIN TRA KING COUNTY
P00689845 01 WA RR MEDICARE-CAROL MILGARD BREAST CENTER
8949635 01 WA LABOR AND INDUSTRIES CRIME VICTIMS-CAROL MILGARD BREAST CENTER
G8882929 01 WA PTAN-MIO1
G8927637 01 WA PTAN-UAOM
institution
Provider Business Practice Location Address Details
Address
1304 Fawcett Ave Ste 100
City
State
Zip
98402-1900
Phone Number
253-761-4200
Fax Number
253-761-4201
person
Provider Business Mailing Address Details
Address
1304 Fawcett Ave Ste 100
City
State
Zip
98402-1900
Phone Number
253-761-4200
Fax Number
253-761-4201
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
MD00043385 (Washington)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD164757 (Oregon)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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