PUYALLUP CHILDREN'S CLINIC PLLC NPI 1841407285

NPI Information

PUYALLUP CHILDREN'S CLINIC, PLLC 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 CHILDREN'S CLINIC, PLLC NPI is 1841407285. 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
STE #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 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:

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