Organization
PEDIATRIC HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAZEN DAHAN M.D. (F.A.A.P.)
(253) 848-7660
Entity
Organization
Contact information
Practice address
1420 3RD ST SE, STE. 200, PUYALLUP, WA 98372-3730
(253) 848-7660
(253) 841-1801
Mailing address
1420 3RD ST SE, STE. 200, PUYALLUP, WA 98372-3730
(253) 848-7660
(253) 841-1801
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
60705836
WA
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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