| The Ida Karlin Pediatric Center | |
|
319 5th St Sw Puyallup WA 98371-5828 | |
| (253) 848-0351 | |
| (253) 841-1397 |
| Full Name | The Ida Karlin Pediatric Center |
|---|---|
| Speciality | Pediatrics |
| Location | 319 5th St Sw, Puyallup, Washington |
| Authorized Official Name and Position | Ovidio Penalver (CORPORATE OFFICER, PROVIDER) |
| Authorized Official Contact | 2538480351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ida Karlin Pediatric Center 319 5th St Sw Puyallup WA 98371-5828 Ph: (253) 848-0351 | The Ida Karlin Pediatric Center 319 5th St Sw Puyallup WA 98371-5828 Ph: (253) 848-0351 |
| NPI Number | 1366657918 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 12/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366657918 | NPI | - | NPPES |
| 7110653 | Medicaid | WA |
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