Puget Sound Specialty Physicians Pllc

LBN: Puget Sound Specialty Physicians Pllc
Puget Sound Specialty Physicians Pllc is an health care organization with primary practice located at 2728 E Main Ave Suite A, Puyallup WA 98372-3198. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Puget Sound Specialty Physicians Pllc can be contacted via phone (253) 841-2006, or through Quevedo, Tina M via phone (253) 841-2006.

Contact Information

Primary practice address
2728 E Main Ave Suite A Puyallup WA 98372-3198
Phone: (253) 841-2006
Fax: (253) 840-6691
Website:
Map and Directions
Authorized official contact:
Name: Quevedo, Tina M
Phone: (253) 841-2006

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1124203963
LBN Legal business name Puget Sound Specialty Physicians Pllc
DBA Doing business as
Authorized official Quevedo, Tina M
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2007
Last updated Jun 14th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124203963 NPPES
Washington MEDICAID 7109770

Popular Providers