Provider Demographics
NPI:1922453745
Name:SZUFLITA, NICHOLAS S (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:S
Last Name:SZUFLITA
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:9040A JACKSON AVE DEPARTMENT OF NEUROSURGERY
Mailing Address - Street 2:
Mailing Address - City:JOINT BASE LEWIS MCCHORD
Mailing Address - State:WA
Mailing Address - Zip Code:98431-0001
Mailing Address - Country:US
Mailing Address - Phone:716-408-7822
Mailing Address - Fax:
Practice Address - Street 1:9040A JACKSON AVE DIVISION OF NEUROSURGERY
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0004
Practice Address - Country:US
Practice Address - Phone:253-968-3105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA61536057207T00000X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery