Organization
VA PUGET SOUND HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN PERRY EHLIG PA-C (PHYSICIAN ASSISTANT)
(253) 582-8440
Entity
Organization
Contact information
Practice address
VA PUGET SOUND HEALTH CARE SYSTEM, AMERICAN LAKE D, 9600 VETERANS DRIVE SW, TACOMA, WA 98493-0001
(253) 582-8440
Mailing address
4015 244TH STREET CT E, SPANAWAY, WA 98387-7009
(253) 847-6116
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
PA10002879
WA
Other
Enumeration date
04/03/2006
Last updated
08/22/2020
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