Kidney & Hypertension Institute of St. George Pllc

NPI #1255509469 in Tacoma, Washington

Provider Information

NPI Number: 1255509469
Entity Type: Organization
Organization Name: Kidney & Hypertension Institute of St. George Pllc
Primary Specialty: Specialist
Enumeration Date: Feb 11, 2008
Last Updated: Feb 11, 2008

Practice Location

Address: 1127 BROADWAY
Address 2: SUITE 202
City: Tacoma
State: Washington
ZIP Code: 98402-3519
Phone: (206) 816-6535

Authorized Official

Name: DR. CARLOS ALBERTO MERCADO, M.D.
Title: PHYSICIAN
Phone: (435) 652-1135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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