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Organization
ENTPSA PUYALLUP ASC
Active
Organization
ENTPSA PUYALLUP ASC
Active
Parent organization
EAR, NOSE, THROAT & PLASTIC SURGERY ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAR, NOSE, THROAT & PLASTIC SURGERY ASSOCIATES
Authorized official
DR. CHRISTINE M PUIG MD (PRESIDENT)
(253) 833-6241
Entity
Organization
Contact information
Practice address
1609 S MERIDIAN, PUYALLUP, WA 98371-7517
(253) 833-6241
(253) 833-4113
Mailing address
310 6TH ST NE, AUBURN, WA 98002-4342
(253) 833-6241
(253) 833-4113
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3535EN
REGENCE
WA
05
—
7133671
—
WA
Enumeration date
07/01/2009
Last updated
09/15/2009
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