Individual
DR. EDWARD A PULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00024649
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065329
LABOR & INDUSTRIES
WA
01
—
080166385
MEDICARE RAILROAD
WA
05
—
1031731
—
WA
01
—
4079812
AETNA
WA
01
—
8934277
L&I CVC
WA
01
—
PU6111
REGENCE RIDER
WA
Enumeration date
12/18/2006
Last updated
01/25/2016
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