NPI 1770766271
Puget Sound Specialty Physicians PLLC
Practice location
- Address
- 2820 Griffin Ave Suite 101, Enumclaw, WA 98022-2373
- Phone
- (253) 841-2006
- Fax
- (253) 840-6691
- Mailing address
- 2728 E Main Ave Suite a, Puyallup, WA 98372-3198
Authorised official
- Name
- Tina M Quevedo
- Title
- Billing Office Supervisor
- Phone
- (253) 841-2006
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1770766271
- Entity type
- Organization
- NPI issued
- 7 Dec 2007
- Record last updated
- 5 Jun 2008
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.