Individual provider · Type 1 NPI

Scott Randall Henneman, MD

Diagnostic Radiology Physician · Tacoma, WA

NPI number 1013173814 Active

Practice location

1304 Fawcett Ave Ste 100
Tacoma, WA 98402

Fax (253) 761-4201

Specialties and licenses

TaxonomyCodeLicense
Neuroradiology Physician 2085N0700XMD60392348 (WA)
Diagnostic Radiology Physician 2085R0202XMD187713 (OR)
Neuroradiology Physician 2085N0700XMD187713 (OR)
Diagnostic Radiology Physician Primary 2085R0202XMD60392348 (WA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1013173814

Scott Randall Henneman, MD's National Provider Identifier is 1013173814, issued on Jul 31, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Tacoma, WA. The record was last updated on Aug 30, 2024.