TREVOR W. DENNIE, MD - NPI NUMBER 1710030333

Summary

Provider Name: TREVOR W. DENNIE, MD

NPI Number: 1710030333

Clasification: Internal Medicine (207RH0003X)

Specialization: Hematology & Oncology

Organization: MULTICARE HEALTH SYSTEM

Address:
400 15TH AVE SE
PUYALLUP, WA
ZIP 98372

Phone Number: (253) 697-1310



Detailed Information

Trevor W. Dennie, MD is a hematology & oncology internist in Puyallup, WA with 11 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. The assigned NPI number for this provider is 1710030333 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year: 2003

The provider's business address is:

400 15TH AVE SE
PUYALLUP, WA
ZIP 98372-750
Phone: (253) 697-1310

The enumeration date for this NPI number is 1/18/2007 and was last updated on 5/2/2012.

Map - Location of Practice

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Taxonomy Codes

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 207RH0003X Internal Medicine Hematology & Oncology MD60200337 WA Yes

NPI Record

No. Field Name Field Value
1 NPI 1710030333
2 Entity Type Code 1
3 Provider Last Name Legal Name DENNIE
4 Provider First Name TREVOR
5 Provider Middle Name W.
6 Provider Credential Text MD
7 Provider First Line Business Practice Location Address 400 15TH AVE SE
8 Provider Business Practice Location Address City Name PUYALLUP
9 Provider Business Practice Location Address State Name WA
10 Provider Business Practice Location Address Postal Code 983723750
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 2536971310
13 Provider Enumeration Date 1/18/2007
14 Last Update Date 5/2/2012
15 Provider Gender Code M
16 Healthcare Provider Taxonomy Code 1 207RH0003X
17 Provider License Number 1 MD60200337
18 Provider License Number State Code 1 WA
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.