Organization
UROLOGIC CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA L LUDTKE (BILLING SUPERVISOR)
(253) 445-1844
Entity
Organization
Contact information
Practice address
1519 3RD ST SE, SUITE 210, PUYALLUP, WA 98372-3742
(253) 445-1844
Mailing address
1519 3RD ST SE, SUITE 230, PUYALLUP, WA 98372-3742
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
09/11/2007
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