| NPI | 1790744175 |
|---|---|
| Former Legal Business Name | PUYALLUP ENDOSCOPY CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY SNODGRASS President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: WA CON 1301 REQUIRED) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2022-06-28 |