CHARLES M. LLEWELLYN MD
Individual Provider (NPI-1)
Active
Otolaryngology, Otolaryngology/Facial Plastic Surgery
Provider Information
- NPI Number
1790288280- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 9040 JACKSON AVE, TACOMA, WA, 984310001
- Phone
- (253) 968-1420
- Fax
- (253) 968-3140
Specialties & Taxonomies
Otolaryngology, Facial Plastic Surgery
License: CA #A186385
Otolaryngology, Plastic Surgery within the Head & Neck
License: CA #A186385
General Practice
License: NE #32149
Otolaryngology, Otolaryngology/Facial Plastic Surgery
Primary License: WA #MD61640327