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Organization
PUGET SOUND SPECIALTY PHYSICIANS PLLC
Active
Organization
PUGET SOUND SPECIALTY PHYSICIANS PLLC
Active
Parent organization
PUGET SOUND SPECIALTY PHYSICIANS PLLC
Other names
Factoria Foot & Ankle Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUGET SOUND SPECIALTY PHYSICIANS PLLC
Authorized official
TINA M QUEVEDO (BILLING OFFICE SUPERVISOR)
(253) 841-2006
Entity
Organization
Contact information
Practice address
4140 FACTORIA BLVD SE, SUITE 1B, BELLEVUE, WA 98006-5261
(425) 644-2313
(425) 644-4739
Mailing address
2728 E MAIN AVE, SUITE A, PUYALLUP, WA 98372-3198
(253) 841-2006
(253) 840-6691
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
WA
Other
Enumeration date
10/30/2007
Last updated
06/05/2008
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