Organization
PUYALLUP CLINIC INC
Active
Other names
Puyallup Clinic Inc., PS
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY FRED DURIS MD (PRESIDENT AND CEO)
(253) 845-6645
Entity
Organization
Contact information
Practice address
800 S MERIDIAN STE A, PUYALLUP, WA 98371-6994
(253) 845-6645
(253) 770-2295
Mailing address
800 S MERIDIAN STE A, PUYALLUP, WA 98371-6994
(253) 845-6645
(253) 770-2295
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261Q00000X
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7120363
—
WA
Enumeration date
03/28/2007
Last updated
07/31/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us