Organization
PUYALLUP REGENERATIVE MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LEE CHURCH DC (PRESIDENT)
(253) 332-3628
Entity
Organization
Contact information
Practice address
1410 S MERIDIAN STE A, PUYALLUP, WA 98371-6902
(253) 841-4425
(253) 445-5712
Mailing address
PO BOX 1272, SUMNER, WA 98390-0250
(253) 841-4425
(253) 445-5712
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
04/28/2021
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