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1306341706
POYA POURGHADERI
TACOMA, WA
NPI
1306341706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: WA OP61508886)
Enumeration Date
2018-03-27
Last Update Date
2024-12-12
Business Address
POYA POURGHADERI DO
3124 S 19TH ST STE C320
TACOMA, WA 98405-2485
Phone number: 253-301-5100
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Mailing Address
POYA POURGHADERI DO
PO BOX 5299 MS: 820-5-PCO
TACOMA, WA 98415-0299
Phone number:
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