Organization
SURGERY CENTER ENUMCLAW
Active
Parent organization
PUGET SOUND SPECIALTY PHYSICIANS, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUGET SOUND SPECIALTY PHYSICIANS, PLLC
Authorized official
DAVID H BISHOP M.D. (BOARD CHAIRMAN)
(360) 825-7500
Entity
Organization
Contact information
Practice address
2820 GRIFFIN AVE, SUITE 100, ENUMCLAW, WA 98022-2373
(360) 802-5231
(360) 802-5236
Mailing address
2820 GRIFFIN AVE, SUITE 100, ENUMCLAW, WA 98022-2373
(360) 802-5231
(360) 802-5236
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
FX00057007
WA
Other
Enumeration date
10/10/2006
Last updated
11/29/2007
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