Search › Washington › 207Q00000X
Richard Detheridge, M.D
NPI 1518222900 · on the registry since 2012
Practice
- Address
- Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431 - Phone
- (253) 477-5690
- Clinicians at this address
- 343
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-03
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