Organization
RAINIER ANESTHESIA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WALLACE MD (HEAD OF GROUP)
(713) 447-2353
Entity
Organization
Contact information
Practice address
400 E PIONEER STE 101, PUYALLUP, WA 98372-3256
(253) 445-5828
Mailing address
PO BOX 1737, TACOMA, WA 98401-1737
(253) 445-5828
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/29/2005
Last updated
03/19/2021
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