Organization
PUGET SOUND SPECIALTY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANINE KIRPES (OFFICE MANAGER)
(360) 802-5231
Entity
Organization
Contact information
Practice address
2820 GRIFFIN AVE, SUITE 100, ENUMCLAW, WA 98022-2373
(360) 802-5231
Mailing address
2820 GRIFFIN AVE, ENUMCLAW, WA 98022-2373
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
WA
Other
Enumeration date
06/25/2007
Last updated
11/29/2007
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