# PUYALLUP VALLEY WOMEN'S CLINIC, INC.,P.S.

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

## Provider details

- **NPI number:** 1215194576
- **Authorized official:** DR. BRUCE D. ROMIG M.D. (OWNER)
- **Authorized official phone:** (253) 845-1962

## Contact information

- **Practice address:** 520 14TH AVE SE, PUYALLUP, WA 98372-4683
- **Practice address phone:** (253) 845-1962
- **Practice address fax:** (253) 770-8640
- **Mailing address:** 520 14TH AVE SE, PUYALLUP, WA 98372-4683
- **Mailing address phone:** (253) 845-1962
- **Mailing address fax:** (253) 770-8640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 14802 | WA | Yes |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 05/22/2008