Bruce Willham
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Bruce Willham, M.D. is a Tacoma, Washington based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Bruce Willham is
315 M L King Jr Way, Attn: Pediatrix Medical Group, Tacoma, Washington - 98405-4234. He can be contacted on phone at
253-403-1019.
Bruce Willham is a sole proprietor of his business.
NPI number (Unique professional ID) for Bruce Willham is
1447200704 which was assigned by NPPES on 10 May, 2006 and it was last updated on 08 Jul, 2007.
Bruce Willham license number is
22636 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Washington.
Bruce Willham is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Bruce Willham basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Bruce Willham |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Bruce Willham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 315 M L King Jr Way, Attn: Pediatrix Medical Group
Tacoma, WA, 98405-4234
United States |
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| Phone Number : | 253-403-1019 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1447200704 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 May, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bruce Willham are as mentioned. Primary taxonomy code for Bruce Willham, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 22636 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Bruce Willham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 8306540 | MEDICAID | WA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 315 M L King Jr Way, Attn: Pediatrix Medical Group
Tacoma, WA, 98405-4234
United States |
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| Phone Number : | 253-403-1019 |
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Business Location:
Patients can refer following map for directions to
Bruce Willham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.