Organization
PRIME HEALTH CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ABEER ADNAN ALIDLEBI (GENERAL MANGER)
(253) 740-0977
Entity
Organization
Contact information
Practice address
1004 E MAIN STE D, PUYALLUP, WA 98372-3199
(253) 268-0720
(253) 466-7072
Mailing address
1004 E MAIN STE D, PUYALLUP, WA 98372-3199
(253) 268-0720
(253) 466-7072
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
60306063
WA
2080P0206X
Pediatric Gastroenterology Physician
Primary
00035982
WA
Other
Enumeration date
04/09/2014
Last updated
08/29/2021
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