Organization
EAR NOSE THROAT & PLASTIC SURGERY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE M PUIG MD (PRESIDENT)
(253) 833-6241
Entity
Organization
Contact information
Practice address
310 6TH ST NE, AUBURN, WA 98002-4342
(253) 833-6241
Mailing address
310 6TH ST NE, AUBURN, WA 98002-4342
(253) 833-6241
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
601410204
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609834258
NPI
WA
05
—
7060890
—
WA
Enumeration date
10/19/2006
Last updated
08/06/2009
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