Puyallup Children'S Clinic, Pllc in Puyallup - Adolescent Medicine
Puyallup Children'S Clinic, Pllc - NPI 1841407285
Puyallup Children'S Clinic, Pllc is a Adolescent Medicine in Puyallup, Washington. Puyallup Children'S Clinic, Pllc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Puyallup Children'S Clinic, Pllc is 1841407285. The last update date is 2020-08-22.
Puyallup Children'S Clinic, Pllc's current location address is 1322 3rd St Se, Puyallup, Washington. You can contact this provider via phone number 2538481572 and fax number 2538413719. The mailing address for Puyallup Children'S Clinic, Pllc is 1322 3rd St Se, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Puyallup Children'S Clinic, Pllc |
|---|---|
| Address | 1322 3rd St Se, Puyallup, Washington |
| Phone Number | 2538481572 |
| Fax Number | 2538413719 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jolley B Timothy |
| Credentials | M.D. |
| Telephone Number | 2538481572 |
NPI Number Detail
| NPI Number | 1841407285 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1322 3rd St Se |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983723771 |
| Phone Number | 2538481572 |
| Fax Number | 2538413719 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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What is the unique identifier code issued to Puyallup Children'S Clinic, Pllc by the Centers for Medicare & Medicaid Services?
The Puyallup Children'S Clinic, Pllc has been assigned the NPI (National Provider Identifier) 1841407285. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Puyallup Children'S Clinic, Pllc is geographically located?
The Puyallup Children'S Clinic, Pllc is physically situated at the following location: 1322 3Rd St Se, Puyallup, WA, 983723771.
What is Puyallup Children'S Clinic, Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Puyallup Children'S Clinic, Pllc is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1841407285 to Puyallup Children'S Clinic, Pllc?
The Puyallup Children'S Clinic, Pllc received its 1841407285 assignment from the Centers for Medicare & Medicaid Services on 2007-05-16.
As of what date was the information regarding Puyallup Children'S Clinic, Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Puyallup Children'S Clinic, Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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