NPI 1699747519
Dfas: Army
Practice location
- Address
- 17122 134th Ln E, Puyallup, WA 98374-8884
- Phone
- (253) 968-5017
Authorised official
- Name
- Matthew Short
- Title
- Family Physician
- Phone
- (253) 986-5017
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1699747519
- Entity type
- Organization
- NPI issued
- 3 Feb 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.