| Puyallup Endocrine & Nuclear Medicine Clinics | |
|
1011 E Main Ave Suite 302 Puyallup WA 98372-6775 | |
| (253) 841-2471 | |
| (253) 841-2472 |
| Full Name | Puyallup Endocrine & Nuclear Medicine Clinics |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1011 E Main Ave, Puyallup, Washington |
| Authorized Official Name and Position | Donald F Devries (PRESIDENT) |
| Authorized Official Contact | 2538412471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puyallup Endocrine & Nuclear Medicine Clinics 1011 Main Ave E Ste 302 Puyallup WA 98372-6775 Ph: (253) 841-2471 | Puyallup Endocrine & Nuclear Medicine Clinics 1011 E Main Ave Suite 302 Puyallup WA 98372-6775 Ph: (253) 841-2471 |
| NPI Number | 1962525527 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 07/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962525527 | NPI | - | NPPES |
| CI9058 | Other | RAILROAD MEDICARE | |
| 7093685 | Medicaid | WA | |
| 113381 | Other | WA | LABOR & INDUSTRIES GROUP# |
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