Puyallup Clinic INC
NPI #1497874903 in Puyallup, Washington
Provider Information
- NPI Number
- 1497874903
- Entity Type
- Organization
- Organization Name
- Puyallup Clinic INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Jul 31, 2019
Practice Location
- Address
- 800 S MERIDIAN STE A
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98371-6994
- Phone
- (253) 845-6645
Authorized Official
- Name
- JERRY FRED DURIS, MD
- Title
- PRESIDENT AND CEO
- Phone
- (253) 845-6645
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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