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Organization
SURGERY CENTER ENUMCLAW
Active
Organization
SURGERY CENTER ENUMCLAW
Active
Parent organization
PUGET SOUND SPECIALTY PHYSICIANS, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUGET SOUND SPECIALTY PHYSICIANS, PLLC
Authorized official
DAVID H BISHOP M.D. (BOARD CHAIRMAN)
(360) 825-7500
Entity
Organization
Contact information
Practice address
2820 GRIFFIN AVE, SUITE 100, ENUMCLAW, WA 98022-2373
(360) 802-5231
(360) 802-5236
Mailing address
2820 GRIFFIN AVE, SUITE 100, ENUMCLAW, WA 98022-2373
(360) 802-5231
(360) 802-5236
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
FX00057007
WA
Other
Enumeration date
10/10/2006
Last updated
11/29/2007
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