Organization
PUYALLUP VALLEY WOMEN'S CLINIC, INC.,P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE D. ROMIG M.D. (OWNER)
(253) 845-1962
Entity
Organization
Contact information
Practice address
520 14TH AVE SE, PUYALLUP, WA 98372-4683
(253) 845-1962
(253) 770-8640
Mailing address
520 14TH AVE SE, PUYALLUP, WA 98372-4683
(253) 845-1962
(253) 770-8640
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
14802
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7113608
—
WA
Enumeration date
05/22/2008
Last updated
05/22/2008
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