Provider Demographics
NPI:1265454565
Name:ARNETTE, GREGORY EDWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:EDWIN
Last Name:ARNETTE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1310 S UNION AVE
Mailing Address - Street 2:A-201
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1907
Mailing Address - Country:US
Mailing Address - Phone:253-272-6903
Mailing Address - Fax:253-272-4047
Practice Address - Street 1:1310 S UNION AVE
Practice Address - Street 2:A-201
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1907
Practice Address - Country:US
Practice Address - Phone:253-272-6903
Practice Address - Fax:253-272-4047
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2016-02-17
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Provider Licenses
StateLicense IDTaxonomies
WA18973207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAR0749OtherREGENCE
WA1021401Medicaid
WA110007333OtherRR MEDICARE
WA110007333OtherRR MEDICARE