Individual provider · Type 1 NPI
Tavis Dickerson-Young, MD
Pediatric Emergency Medicine (Pediatrics) Physician · Seattle, WA
NPI number
1689092363
Active
Practice location
4800 Sand Point Way NE # MB.7.520
Seattle, WA 98105-3901
Mailing address
4800 Sand Point Way NE, Mailstop MB.7.520
Seattle, WA 98105-3901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | MD60741027 (WA) |
| Pediatric Emergency Medicine (Pediatrics) Physician Primary | 2080P0204X | MD60741027 (WA) |
Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.
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About NPI 1689092363
Tavis Dickerson-Young, MD's National Provider Identifier is 1689092363, issued on Mar 31, 2014. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Seattle, WA. The record was last updated on Aug 18, 2021.