Organization
PEDIATRIC EMERGENCY CARE PROVIDERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDE YOUNGER (CFO)
(719) 651-9443
Entity
Organization
Contact information
Practice address
1055 GOLF CLUB ROAD SOUTHEAST, LACEY, WA 98503
(253) 403-8327
Mailing address
PO BOX 5215, TACOMA, WA 98415-0215
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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