EAR NOSE THROAT & PLASTIC SURGERY ASSOCIATES OF THE SOUTH SOUND PS NPI 1104151562

NPI Information

EAR NOSE THROAT & PLASTIC SURGERY ASSOCIATES OF THE SOUTH SOUND PS is an ambulatory surgical clinic center in Puyallup, WA. EAR NOSE THROAT & PLASTIC SURGERY ASSOCIATES OF THE SOUTH SOUND PS NPI is 1104151562. The provider is registered as an organization entity type.
The provider Other Name Is Entpsa Of The South Sound Puyallup Asc.

The provider's business location address is:

1609 S MERIDIAN
PUYALLUP, WA
ZIP 98371-517
Phone: (253) 833-6241
Fax: (253) 833-4113

The provider's authorized official is Christine M Puig .
The authorized official title is President and has the following contact phone number (253) 833-6241.

The enumeration date for this NPI number is 10/2/2009 and was last updated on 10/2/2009.

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:

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