Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | MD00024097 | WA |
NPI | 1124087093 |
---|---|
Provider Name | Dr. Sharon Falzgraf |
First Address | Lakewood, WA 98499-1825 |
Second Address | Tacoma, WA 98493-0003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 08/07/2007 |