Individual
JAIME G PUGEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 S CEDAR ST, SUITE 301 CARDIAC STUDY CENTER, INC., P.S., TACOMA, WA 98405-2308
(253) 572-7320
(253) 627-3191
Mailing address
1901 S CEDAR ST, SUITE 301 CARDIAC STUDY CENTER, INC., P.S., TACOMA, WA 98405-2308
(253) 572-7320
(253) 627-3191
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00042277
WA
207RI0011X
Interventional Cardiology Physician
MD00042277
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8356412
—
WA
Enumeration date
12/06/2005
Last updated
11/10/2014
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