PUYALLUP VALLEY PEDIATRIC ASSOCIATES P.S. NPI 1497962831

NPI Information

PUYALLUP VALLEY PEDIATRIC ASSOCIATES, P.S. is an adolescent medicine pediatrics in Puyallup, WA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PUYALLUP VALLEY PEDIATRIC ASSOCIATES, P.S. NPI is 1497962831. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1322 3RD ST SE
SUITE #240
PUYALLUP, WA
ZIP 98372-771
Phone: (253) 848-1572
Fax: (253) 841-3719

The provider's authorized official is Timothy B Jolley .
The authorized official title is Owner and has the following contact phone number (253) 848-1572.

The CLIA number assigned to this NPI record is 50D0883855 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/16/2007 and was last updated on 8/22/2020.

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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