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Organization
SOUTH HILL FAMILY MEDICINE PC
Active
Organization
SOUTH HILL FAMILY MEDICINE PC
Active
Other names
Sound Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RHIANNON BROVOLD (DIRECTOR OF FINANCE)
(253) 848-5951
Entity
Organization
Contact information
Practice address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 864-8954
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 864-8954
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
601290482
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169201
L& I GROUP NUMBER
WA
05
—
7036114
—
WA
Enumeration date
10/03/2006
Last updated
06/06/2023
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