Organization
PUYALLUP DERMATOLOGY CLINIC INC P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MEEKER M.D. (OWNER)
(253) 841-2453
Entity
Organization
Contact information
Practice address
2622 S MERIDIAN, PUYALLUP, WA 98373-1500
(253) 841-2453
(253) 840-5519
Mailing address
929 E MAIN AVE, SUITE 210, PUYALLUP, WA 98372-3116
(253) 841-2453
(253) 840-5519
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00038522
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53030
DEPT OF L&I
WA
05
—
7095656
—
WA
Enumeration date
08/03/2005
Last updated
06/02/2025
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