Puget Sound Specialty Physicians Pllc
NPI #1124203963 in Puyallup, Washington
Provider Information
- NPI Number
- 1124203963
- Entity Type
- Organization
- Organization Name
- Puget Sound Specialty Physicians Pllc
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Dec 28, 2007
- Last Updated
- Jun 14, 2010
Practice Location
- Address
- 2728 E MAIN AVE
- Address 2
- SUITE A
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98372-3198
- Phone
- (253) 841-2006
Authorized Official
- Name
- TINA M QUEVEDO
- Title
- BILLING SUPERVISOR
- Phone
- (253) 841-2006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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