Organization
EAR NOSE THROAT & PLASTIC SURGERY ASSOCIATES OF THE SOUTH SOUND PS
Active
Other names
ENTPSA of the South Sound Puyallup ASC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE M PUIG MD (PRESIDENT)
(253) 833-6241
Entity
Organization
Contact information
Practice address
1609 S MERIDIAN, PUYALLUP, WA 98371-7517
(253) 833-6241
(253) 833-4113
Mailing address
310 6TH ST NE, AUBURN, WA 98002-4342
(253) 833-6241
(253) 833-4113
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASFFS60101770
WA
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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