Organization
THE POLYCLINIC PLLC
Active
Other names
Optum Tacoma
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG PEPIN MD (PHYSICIAN/OWNER)
(206) 860-5414
Entity
Organization
Contact information
Practice address
1812 S J ST STE 102, TACOMA, WA 98405-4965
(253) 552-4900
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 860-5414
(206) 720-8462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/24/2010
Last updated
10/03/2024
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