Organization
PACIFIC SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSA TAYLOR (LMP)
(253) 861-6691
Entity
Organization
Contact information
Practice address
7817 PACIFIC AVE, TACOMA, WA 98408-7036
(253) 472-6061
Mailing address
7817 PACIFIC AVE, TACOMA, WA 98408-7036
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
60314731
WA
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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