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1457328965
PHILLIP M BOUTERSE
TACOMA, WA
NPI
1457328965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WA 35646)
Enumeration Date
2006-03-02
Last Update Date
2007-07-08
Business Address
Dr. PHILLIP M BOUTERSE MD
3633 PACIFIC AVE SUITE 204
TACOMA, WA 98418-7900
Phone number: 253-274-1668
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Mailing Address
Dr. PHILLIP M BOUTERSE MD
3633 PACIFIC AVE SUITE 204
TACOMA, WA 98418-7900
Phone number: 253-274-1668
Copy
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