Organization
PUGET SOUND ALLERGY ASTHMA AND IMMUNOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY MARKWARD (OFFICE MANAGER)
(235) 383-4721
Entity
Organization
Contact information
Practice address
34509 9TH AVE S, SUITE 207, FEDERAL WAY, WA 98003-6700
(253) 662-5667
(253) 627-4296
Mailing address
1901 S UNION AVE, SUITE B6010, TACOMA, WA 98405-1702
(253) 383-4721
(253) 627-4296
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
MD00026151
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7112261
—
WA
Enumeration date
03/14/2007
Last updated
10/17/2012
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