Organization
DFAS: ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SHORT (FAMILY PHYSICIAN)
(253) 986-5017
Entity
Organization
Contact information
Practice address
17122 134TH LN E, PUYALLUP, WA 98374-8884
(253) 968-5017
Mailing address
17122 134TH LN E, PUYALLUP, WA 98374-8884
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
9904
MT
Other
Enumeration date
02/03/2006
Last updated
08/22/2020
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