HomeNPI Verification

NPI Verification

National Provider Identifier: 1073618419

Michael Charles Deberardinis, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

Practice Address

315 MARTIN LUTHER KING JR WAY

TACOMA, WA 984054234

Phone: 253-372-7102

NPI Enumeration Date

September 13, 2006

NPI Number

1073618419

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry