Basic Information
Provider Information
NPI: 1235201567
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WESSBECHER
FirstName: FRANCIS
MiddleName: WILLIAM
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1535
Address2:  
City: TACOMA
State: WA
PostalCode: 984011535
CountryCode: US
TelephoneNumber: 2537614200
FaxNumber: 2533833553
Practice Location
Address1: 1304 FAWCETT AVE
Address2: SUITE 100
City: TACOMA
State: WA
PostalCode: 984021911
CountryCode: US
TelephoneNumber: 2537614200
FaxNumber: 2533833553
Other Information
ProviderEnumerationDate: 11/14/2006
LastUpdateDate: 12/22/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085N0700XMD00026448WAN Allopathic & Osteopathic PhysiciansRadiologyNeuroradiology
2085R0202XMD00026448WAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

ID Information
IDTypeStateIssuerDescription
1940WE01WAREGENCE BLUE SHIELD ADVANCED OPEN IMAGINGOTHER
895183201WALABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1STOTHER
AB3653201WAMEDICARE PIN TRA KING COUNTYOTHER
820257405WA MEDICAID
G888178401WAPTAN-MIO1OTHER
WE961301WAREGENCE BLUE SHIELD TRAOTHER
AB3788901WAMEDICARE PIN ADVANCED OPEN IMAGINGOTHER
G00105562101WAPTAN-TRA PIERCE COOTHER
11925501WALABOR AND INDUSTRIES UNION AVENUE OPENOTHER
17031001WALABOR AND INDUSTRIES ADVANCED OPEN IMAGINGOTHER
30002180001WARR MEDICARE TRAOTHER
894481001WALABOR AND INDUSTRIES CRIME VICTIMS-TRAOTHER
894554001WALABOR AND INDUSTRIES CRIME VICTIMS-UNION AVENUE OPEN MRIOTHER
WE725201WAREGENCE BLUE SHIELD UNION AVENUE OPENOTHER
6599201WALABOR AND INDUSTRIES TRAOTHER
024956601WALABOR AND INDUSTRIES-MEDICAL IMAGING ON 1STOTHER


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