Provider Demographics
NPI:1396758561
Name:TORNOW, JOHN JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:TORNOW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:35003 5TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-8107
Mailing Address - Country:US
Mailing Address - Phone:253-942-7601
Mailing Address - Fax:253-942-7601
Practice Address - Street 1:1501 MARKET ST
Practice Address - Street 2:SUITE 200
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-3326
Practice Address - Country:US
Practice Address - Phone:253-382-3415
Practice Address - Fax:866-302-5883
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00036039207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine