Puget Sound Specialty Physicians Pllc
NPI #1144401704 in Bonney Lake, Washington
Provider Information
- NPI Number
- 1144401704
- Entity Type
- Organization
- Organization Name
- Puget Sound Specialty Physicians Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PUGET SOUND SPECIALTY PHYSICIANS PLLC
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Nov 23, 2007
- Last Updated
- Jun 5, 2008
Practice Location
- Address
- 19820 HWY 410 EAST
- City
- Bonney Lake
- State
- Washington
- ZIP Code
- 98391
- Phone
- (253) 848-6656
Authorized Official
- Name
- TINA M QUEVEDO
- Title
- BILLING OFFICE SUPERVISOR
- Phone
- (253) 841-2006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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