Organization
UNIVERSITY PLACE PEDIATRIC CLINIC P S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA WILES (ACCOUNTS MANAGER)
(253) 564-1115
Entity
Organization
Contact information
Practice address
1033 REGENTS BLVD STE 102, FIRCREST, WA 98466-6089
(253) 564-1115
(253) 565-4552
Mailing address
1033 REGENTS BLVD STE 102, FIRCREST, WA 98466-6089
(253) 564-1115
(253) 565-4552
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
07/22/2022
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