MAGNOLIA NATUROPATHIC MEDICINE LLC NPI 1043695547

NPI Information

MAGNOLIA NATUROPATHIC MEDICINE, LLC is a medical specialty clinic center in Puyallup, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MAGNOLIA NATUROPATHIC MEDICINE, LLC NPI is 1043695547. The provider is registered as an organization entity type.
The provider Is Doing Business As Magnolia Naturopathic Medicine.

The provider's business location address is:

803 39TH AVE SW STE F
PUYALLUP, WA
ZIP 98373-692
Phone: (253) 848-1055
Fax: (253) 848-5533

The provider's authorized official is Laura Elayne Firetag .
The authorized official title is Naturopathic Physician and has the following contact phone number (843) 209-3966.

The enumeration date for this NPI number is 7/25/2015 and was last updated on 7/25/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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