RICHARD DERIK DETHERIDGE

TACOMA, WA
NPI1518222900
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01073405A)
Enumeration Date2012-07-11
Last Update Date2024-10-03
Business Address
Dr. RICHARD DERIK DETHERIDGE M.D.
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-477-5690
Mailing Address
Dr. RICHARD DERIK DETHERIDGE M.D.
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-477-5690
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