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PUYALLUP REGENERATIVE MEDICINE PLLC NPI 1740872944


NPI Information

NPI: 1740872944
Provider Name: PUYALLUP REGENERATIVE MEDICINE, PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1410 S MERIDIAN STE A
PUYALLUP, WA
ZIP 98371
Phone: (253) 841-4425
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PUYALLUP REGENERATIVE MEDICINE, PLLC is a general practice in Puyallup, WA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PUYALLUP REGENERATIVE MEDICINE, PLLC NPI is 1740872944. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1410 S MERIDIAN STE A
PUYALLUP, WA
ZIP 98371-902
Phone: (253) 841-4425
Fax: (253) 445-5712

The provider's authorized official is Michael Lee Church .
The authorized official title is President and has the following contact phone number (253) 332-3628.

The enumeration date for this NPI number is 2/9/2021 and was last updated on 4/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.