ASHLEY M JERATH TATUM M.D.

Allergy and Immunology

Seattle, Washington

Provider NPI: 1174559686

Provider Information:
 ASHLEY M JERATH TATUM M.D.


Practice Location:
9725 3RD AVE NE STE 500  SEATTLE, WA 98115 US
Tel: 206-527-1200  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	WA	MD00040523

Other Provider Identifiers:

Issuer	Number	State	Type
RAIL ROAD MEDICARE	030005331	WA	01
	8290835	WA	05
REGENCE	7981JE	WA	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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