| Puget Sound Neurology | |
|
2201 S 19th St Suite 200 Tacoma WA 98405-2962 | |
| (253) 627-3547 | |
| (253) 272-4771 |
| Full Name | Puget Sound Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2201 S 19th St, Tacoma, Washington |
| Authorized Official Name and Position | Angela C Maricle (OFFICE MANAGER) |
| Authorized Official Contact | 2536273547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puget Sound Neurology 2201 S 19th St Suite 200 Tacoma WA 98405-2962 Ph: (253) 627-3547 | Puget Sound Neurology 2201 S 19th St Suite 200 Tacoma WA 98405-2962 Ph: (253) 627-3547 |
| NPI Number | 1871649285 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 11/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871649285 | NPI | - | NPPES |
| 13162 | Other | WA | LABOR & INDUSTRIES |
| 1031178 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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