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Organization
CEDAR MEDICAL SPECIALTIES, PLLC
Active
Organization
CEDAR MEDICAL SPECIALTIES, PLLC
Active
Other names
Aesthetic Surgery Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID V PRATT MD (OWNER)
(253) 627-2900
Entity
Organization
Contact information
Practice address
2202 S CEDAR ST, SUITE 300, TACOMA, WA 98405-2318
(253) 627-2900
(253) 627-2941
Mailing address
2202 S CEDAR ST, SUITE 300, TACOMA, WA 98405-2318
(253) 627-2900
(253) 627-2941
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7131055
—
WA
Enumeration date
03/09/2007
Last updated
10/15/2007
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