2471C3402X
Puyallup, WA
Specialty
2471C3402X
Credential
CDRT(WA-CERT)
NPI
1457157133
1519 3rd St. Se Ste. 102, Puyallup, WA 98372
(253) 841-8939Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 2471c3402x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 2471C3402X