Organization
MARY BRIDGE CHILDRENS HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HUPPE (CEO)
(253) 830-3221
Entity
Organization
Contact information
Practice address
2106 PACIFIC AVE, SUITE 600, TACOMA, WA 98402-3007
(253) 830-3297
(253) 830-3296
Mailing address
PO BOX 5888, TACOMA, WA 98415-0888
(253) 830-3297
(253) 830-3296
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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