Ear Nose Throat & Plastic Surgery Associates Of The South Sound Ps
Clinic/Center, Ambulatory Surgical in Puyallup, WA. Organization (NPI-2).
NPI number1104151562
StatusActive
Last updated in NPPESOct 2, 2009
Details
- NPI
- 1104151562
- Entity type
- Organization (NPI-2)
- Legal business name
- Ear Nose Throat & Plastic Surgery Associates Of The South Sound Ps
- Organization subpart
- No
- Enumeration date
- Oct 2, 2009
- Last updated
- Oct 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | ASFFS60101770 | WA | Yes |
Other names
- Entpsa Of The South Sound Puyallup Asc (Other Name)
Practice location
1609 S MeridianPuyallup, WA 98371-7517
Phone 253-833-6241 · Fax 253-833-4113
Mailing address
310 6th St NeAuburn, WA 98002-4342
Phone 253-833-6241 · Fax 253-833-4113
Authorized official
Christine M Puig
President
2538336241
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