Puyallup Valley Pediatric Associates, P.S. in Puyallup - Adolescent Medicine
Puyallup Valley Pediatric Associates, P.S. - NPI 1497962831
Puyallup Valley Pediatric Associates, P.S. is a Adolescent Medicine in Puyallup, Washington. Puyallup Valley Pediatric Associates, P.S. practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Puyallup Valley Pediatric Associates, P.S. is 1497962831. The last update date is 2020-08-22.
Puyallup Valley Pediatric Associates, P.S.'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 Valley Pediatric Associates, P.S. is 1322 3rd St Se, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Puyallup Valley Pediatric Associates, P.S. |
|---|---|
| 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 | 1497962831 |
|---|---|
| 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7142607 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Puyallup Valley Pediatric Associates, P.S. by the Centers for Medicare & Medicaid Services (CMS)?
The Puyallup Valley Pediatric Associates, P.S. has been assigned the NPI (National Provider Identifier) 1497962831. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Puyallup Valley Pediatric Associates, P.S. is physically located?
The Puyallup Valley Pediatric Associates, P.S. is physically situated at the following address: 1322 3Rd St Se, Puyallup, WA, 983723771.
What is the Puyallup Valley Pediatric Associates, P.S.'s specialty and taxonomy code?
The Puyallup Valley Pediatric Associates, P.S.'s specialty is Adolescent Medicine, and the corresponding taxonomy code is 2080A0000X.
When was the Puyallup Valley Pediatric Associates, P.S.'s 1497962831 issued?
The Puyallup Valley Pediatric Associates, P.S.'s 1497962831 was issued on 2007-05-16.
As of what date were the Puyallup Valley Pediatric Associates, P.S.'s details last updated?
The information pertaining to the Puyallup Valley Pediatric Associates, P.S., including its address, specialty, and other details, was most recently updated on 2020-08-22.
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