# ENTPSA PUYALLUP ASC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAR, NOSE, THROAT & PLASTIC SURGERY ASSOCIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316175094
- **Legal business name:** EAR, NOSE, THROAT & PLASTIC SURGERY ASSOCIATES
- **Authorized official:** DR. CHRISTINE M PUIG MD (PRESIDENT)
- **Authorized official phone:** (253) 833-6241

## Contact information

- **Practice address:** 1609 S MERIDIAN, PUYALLUP, WA 98371-7517
- **Practice address phone:** (253) 833-6241
- **Practice address fax:** (253) 833-4113
- **Mailing address:** 310 6TH ST NE, AUBURN, WA 98002-4342
- **Mailing address phone:** (253) 833-6241
- **Mailing address fax:** (253) 833-4113

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2009
- **Last updated:** 09/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3535EN | REGENCE | WA |
| 05 | — | 7133671 | — | WA |