| 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 |