Puget Sound Pain Clinic Ps

NPI 1053431684 - Clinic/Center - 261QP3300X

NPI Details
NPI 1053431684
Enumeration Date 03/29/2007
Last Updated 06/23/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KYONG HO KYONG
Position PRESIDENT
Phone (253) 983-9390
Fax (253) 983-0066
Practice Location
11306 BRIDGEPORT WAY SW
#D
LAKEWOOD WA, 98499-3037, US
Phone (253) 983-9390
Fax (253) 983-0066
Business Location
PO BOX 39324
LAKEWOOD WA, 98496-3324, US
Phone (253) 983-9390
Fax (253) 983-0066
Toxanomy
Taxonomy Code 261QP3300X
License State Washington
License Number OP00001595
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According to our database, Puget Sound Pain Clinic Ps NPI is 1053431684, taxonomy code is 261QP3300X and license number is OP00001595, license state is located at Washington. Puget Sound Pain Clinic Ps physically located at 11306 Bridgeport Way Sw, Lakewood WA, 98499-3037. NPI Number 1033115704 has the healthcare provider type.

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1053431684 NPI number is provided on an as is basis without warranty of any kind. 1053431684 is maintained by the National Plan & Provider Enumeration System. The contents of Puget Sound Pain Clinic Ps are for informational purposes only.