Organization
RV SURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY RUDD (MEDICAL DIRECTOR)
(253) 650-0908
Entity
Organization
Contact information
Practice address
2910 S MERIDIAN STE 300, PUYALLUP, WA 98373-1283
(253) 650-0908
Mailing address
2910 S MERIDIAN STE 300, PUYALLUP, WA 98373-1283
(253) 650-0908
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
12/09/2024
Last updated
06/05/2025
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