SCOTT RANDALL HENNEMAN

TACOMA, WA
NPI1013173814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: WA  MD60392348)
Additional Taxonomies2085N0700X Radiology, Neuroradiology
(Licence: WA  MD60392348)
2085R0202X Radiology, Diagnostic Radiology
(Licence: OR  MD187713)
2085N0700X Radiology, Neuroradiology
(Licence: OR  MD187713)
Enumeration Date2008-07-31
Last Update Date2024-08-30
Business Address
Dr. SCOTT RANDALL HENNEMAN MD
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Phone number: 253-761-4200
Mailing Address
Dr. SCOTT RANDALL HENNEMAN MD
1304 FAWCETT AVE STE 100
TACOMA, WA 98402-1900
Phone number: 253-761-4200