Organization
EYE MDS OF PUGET SOUND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA BLACKWELL (ADMINISTRATOR)
(253) 442-2234
Entity
Organization
Contact information
Practice address
4707 S 19TH ST, SUITE 210, TACOMA, WA 98405-1151
(253) 272-4600
(253) 272-6289
Mailing address
4707 S 19TH ST, SUITE 210, TACOMA, WA 98405-1151
(253) 272-4600
(253) 272-6289
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/12/2006
Last updated
02/14/2024
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