Organization
SOUTH HILL VISION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B SOUZA OD (PARTNER)
(253) 848-8988
Entity
Organization
Contact information
Practice address
12511 MERIDIAN E STE 101, PUYALLUP, WA 98373-3425
(253) 848-8988
(253) 841-2374
Mailing address
12511 MERIDIAN E STE 101, PUYALLUP, WA 98373-3425
(253) 848-8988
(253) 841-2374
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
WA
Other
Enumeration date
02/21/2007
Last updated
04/18/2008
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