# WEST TACOMA SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144290776
- **Authorized official:** DR. JOSEPH F. JASPER M.D. (MEDICAL DIRCT/MANAGING MEMBER)
- **Authorized official phone:** (253) 564-2009

## Contact information

- **Practice address:** 1628 S MILDRED ST, SUITE 110, TACOMA, WA 98465-1627
- **Practice address phone:** (253) 564-2009
- **Practice address fax:** (253) 564-7420
- **Mailing address:** 1628 S MILDRED ST, SUITE 110, TACOMA, WA 98465-1613
- **Mailing address phone:** (253) 564-2009
- **Mailing address fax:** (253) 564-7420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | WA | Yes |

## Other

- **Enumeration date:** 01/25/2006
- **Last updated:** 03/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7116346 | — | WA |