Organization
MT. RAINIER EMERGENCY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P BROOK M.D. (OWNER)
(626) 447-0296
Entity
Organization
Contact information
Practice address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-4000
(253) 770-5990
Mailing address
PO BOX 920145, DALLAS, TX 75392-0145
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7121361
—
WA
Enumeration date
06/17/2006
Last updated
09/03/2024
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