Individual
PAUL S DEGENFELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 5TH ST SE, STE 4200, PUYALLUP, WA 98372-4602
(253) 697-3450
Mailing address
1450 5TH ST SE, STE 4200, PUYALLUP, WA 98372-4602
(253) 697-3450
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00045211
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0241995
L&I
WA
05
—
8430787
—
WA
Enumeration date
08/03/2006
Last updated
01/25/2016
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