MOLLY MARIE PEDRAZA NPI 1376189829

NPI Information

NPI: 1376189829
Provider Name: MOLLY MARIE PEDRAZA
Classification: Radiology - 2085U0001X
Entity Type: Individual

Specialization: Diagnostic Ultrasound

Address:
9040 JACKSON AVE
TACOMA, WA
ZIP 98431
Phone: (209) 518-9331
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Molly Marie Pedraza is a diagnostic ultrasound radiology in Tacoma, WA. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. Molly Marie Pedraza NPI is 1376189829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9040 JACKSON AVE
TACOMA, WA
ZIP 98431-001
Phone: (209) 518-9331

The enumeration date for this NPI number is 11/20/2019 and was last updated on 11/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085U0001X	Radiology	Diagnostic Ultrasound	154672	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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