KEN MARK TASHIRO

ANDREWS AFB, MD
NPI1194874578
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01036188A)
Additional Taxonomies2083A0100X Preventive Medicine, Aerospace Medicine
(Licence: IN  01036188A)
Enumeration Date2007-01-09
Last Update Date2007-07-08
Business Address
-- KEN MARK TASHIRO MD
1050 W PERIMETER RD 79TH MDG MALCOLM GROW MEDICAL CENTER
ANDREWS AFB, MD 20762-6601
Phone number: 240-857-4530
Mailing Address
-- KEN MARK TASHIRO MD
9902 HOLMHURST RD
BETHESDA, MD 20817-1618
Phone number: 301-448-6163
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