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PUGET SOUND SPECIALTY PHYSICIANS PLLC NPI 1477732055


NPI Information

NPI: 1477732055
Provider Name: PUGET SOUND SPECIALTY PHYSICIANS PLLC

Doing Business As: ANKLE & FOOT SPECIALIST OF PUYALLUP

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3908 10TH ST SE
PUYALLUP, WA
ZIP 98374
Phone: (253) 848-6656
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PUGET SOUND SPECIALTY PHYSICIANS PLLC is a foot and ankle surgery podiatrist in Puyallup, WA. PUGET SOUND SPECIALTY PHYSICIANS PLLC NPI is 1477732055. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ankle & Foot Specialist Of Puyallup.

The provider's business location address is:

3908 10TH ST SE
PUYALLUP, WA
ZIP 98374-188
Phone: (253) 848-6656
Fax: (253) 840-6691

The provider's authorized official is Tina M Quevedo .
The authorized official title is Billing Office Supervisor and has the following contact phone number (253) 841-2006.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 6/5/2008.


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
1213ES0103XPodiatristFoot & Ankle SurgeryWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14384630003MEDICARE NSCWASHINGTON

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: 4/28/2024

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