Mario Ponticello, DPM

NPI 1134395734 · on the registry since 2008

Practice

Address: 9040 Jackson Ave
Tacoma, WA 98431
Phone: (253) 968-3505
Organisation at this address: Amc Madigan-Ft Lewis
Kroll Anesthesia Services
Defense Finance & Actg Serv
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 1,223

Registry record

Primary taxonomy: 213ES0103X
213ES0103X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington