Organization
BRIDGEPORT MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS JOOYOUNG KIM M.D. (MEMBER)
(253) 797-9234
Entity
Organization
Contact information
Practice address
511 10TH AVE SE, PUYALLUP, WA 98372-3875
(253) 845-7566
Mailing address
152 S 295TH PL, FEDERAL WAY, WA 98003-3659
(253) 797-9234
(253) 588-4986
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD00041157
WA
Other
Enumeration date
10/08/2008
Last updated
05/03/2023
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