Organization
PEDIATRIC NEUROLOGY ASSOCIATES PS
Active
Organization
PEDIATRIC NEUROLOGY ASSOCIATES PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SWATI D VORA MD (OWNER)
(253) 274-5616
Entity
Organization
Contact information
Practice address
2201 S 19TH ST, SUITE 205, TACOMA, WA 98405-2962
(253) 274-5616
(253) 274-5634
Mailing address
PO BOX 65425, UNIVERSITY PLACE, WA 98464-1425
(253) 274-5616
(253) 274-5634
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD00041064
WA
Other
Enumeration date
02/15/2007
Last updated
05/09/2011
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