Organization
PNW EYE PLLC
Active
Other names
Pacific Northwest Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN WALLACE (ADMINISTRATOR)
(253) 759-5555
Entity
Organization
Contact information
Practice address
3602 S 19TH ST, TACOMA, WA 98405-1919
(253) 759-5555
Mailing address
3602 S 19TH ST, TACOMA, WA 98405-1919
(253) 759-5555
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF.FS.60191358
WA
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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