Individual provider · Type 1 NPI

Robert William Enquist, MD

Military Health Care Provider · Tacoma, WA

NPI number 1194790766 Active

Practice location

9040 Jackson Ave
Tacoma, WA 98431-1719

Call (253) 581-2775 Map

Fax (253) 581-2776

Mailing address

136 Cormorant Dr
Steilacoom, WA 98388-1719

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XMD00012919 (WA)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1194790766

Robert William Enquist, MD's National Provider Identifier is 1194790766, issued on Feb 17, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Tacoma, WA. The record was last updated on Sep 26, 2019.