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Organization

PUGET SOUND RHEUMATOLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY T BALENTINE MD (PROVIDER/OWNER)
(253) 588-7911
Entity
Organization

Contact information

Practice address
20700 BOND RD NE, SUITE 104, POULSBO, WA 98370-9099
(360) 386-3897
(888) 640-2325
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD60036029
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD60036029
MEDICAL LICENSE
WA
Enumeration date
05/01/2012
Last updated
05/01/2012
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