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DR. JONATHAN CHALETT MD

Physicians Pediatrics Pediatric Critical Care Medicine

Provider NPI: 1184643447

Provider Information:
DR. JONATHAN  CHALETT MD
Gender: M
Not Sole Proprietor

Practice Location:
317 MARTIN LUTHER KING JR WAY  TACOMA, WA 98405-4234 US
Tel: 253-403-1418  Fax: --

Business Mailing Address:
1236 BIGELOW AVE N  SEATTLE, WA 98109-3209 US
Tel: --  Fax: --

NPI Information:
NPI: 1184643447
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2080P0203XPhysicians
Pediatrics
Pediatric Critical Care Medicine
WA27850
N208000000XPhysicians
Pediatrics
WAMD00027850
Y2080P0204XPhysicians
Pediatrics
WAMD00027850

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2080P0204X

Type:

Classification:



Definition:



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