NPI | 1104151562 |
---|---|
Other Name | ENTPSA OF THE SOUTH SOUND PUYALLUP ASC |
Entity Type | Organization |
Authorized Contact | CHRISTINE M PUIG President 253-833-6241 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA ASFFS60101770) |
Enumeration Date | 2009-10-02 |
Last Update Date | 2009-10-02 |