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Organization
PNW EYE PLLC
Active
Organization
PNW EYE PLLC
Active
Other names
Pacific Northwest Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN WALLACE (ADMINISTRATOR)
(253) 759-5555
Entity
Organization
Contact information
Practice address
3602 S 19TH ST, TACOMA, WA 98405-1919
(253) 759-5555
Mailing address
3602 S 19TH ST, TACOMA, WA 98405-1919
(253) 759-5555
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF.FS.60191358
WA
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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