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PRIME HEALTH CLINIC PLLC NPI 1710306436


NPI Information

NPI: 1710306436
Provider Name: PRIME HEALTH CLINIC PLLC
Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
1004 E MAIN STE D
PUYALLUP, WA
ZIP 98372
Phone: (253) 268-0720
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PRIME HEALTH CLINIC PLLC is a pediatric gastroenterology pediatrics in Puyallup, WA. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. PRIME HEALTH CLINIC PLLC NPI is 1710306436. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1004 E MAIN STE D
PUYALLUP, WA
ZIP 98372-199
Phone: (253) 268-0720
Fax: (253) 466-7072

The provider's authorized official is Abeer Adnan Alidlebi .
The authorized official title is General Manger and has the following contact phone number (253) 740-0977.

The enumeration date for this NPI number is 4/9/2014 and was last updated on 8/29/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology60306063WASHINGTONNo
22080P0206XPediatricsPediatric Gastroenterology00035982WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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