IndividualActive
Andrew Maxam, DO
NPI 1821681586 · General Practice Physician · Tacoma, WA
Provider details
- NPI number
- 1821681586
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-0117
Approximate (ZIP-level) locationGet directions
Mailing address
9040 Jackson Ave
Tacoma, WA 98431-0001
Registry dates
- Enumerated
- 2021-02-14
- Last updated
- 2022-11-08
- Certified
- 2022-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.