CEDAR MEDICAL SPECIALTIES PLLC NPI 1194774265

NPI Information

CEDAR MEDICAL SPECIALTIES, PLLC is an ambulatory surgical clinic center in Tacoma, WA. CEDAR MEDICAL SPECIALTIES, PLLC NPI is 1194774265. The provider is registered as an organization entity type.
The provider Is Doing Business As Cedar Laser And Surgery Center.

The provider's business location address is:

2202 S CEDAR ST
STE 150
TACOMA, WA
ZIP 98405-318
Phone: (253) 830-5432
Fax: (253) 830-5433

The provider's authorized official is Robyn Wallace .
The authorized official title is Clinical Director and has the following contact phone number (253) 830-5432.

The CLIA number assigned to this NPI record is 50D0992544 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 9/8/2010.

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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