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PUYALLUP ENDOCRINE & NUCLEAR MEDICINE CLINICS NPI 1962525527


NPI Information

NPI: 1962525527
Provider Name: PUYALLUP ENDOCRINE & NUCLEAR MEDICINE CLINICS
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
1011 E MAIN AVE
SUITE 302
PUYALLUP, WA
ZIP 98372
Phone: (253) 841-2471
Get Directions

PUYALLUP ENDOCRINE & NUCLEAR MEDICINE CLINICS is an endocrinology and diabetes and metabolism internal medicine in Puyallup, WA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. PUYALLUP ENDOCRINE & NUCLEAR MEDICINE CLINICS NPI is 1962525527. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1011 E MAIN AVE
SUITE 302
PUYALLUP, WA
ZIP 98372-775
Phone: (253) 841-2471
Fax: (253) 841-2472

The provider's authorized official is Donald F Devries .
The authorized official title is President and has the following contact phone number (253) 841-2471.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 7/22/2014.


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
1207UN0902XNuclear MedicineNuclear Imaging & Therapy601891662WASHINGTONNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism601891662WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CI9058OTHERRAILROAD MEDICARE
27093685MEDICAIDWASHINGTON
3GAB09018MEDICARE PIN
4113381OTHERWASHINGTONLABOR & INDUSTRIES GROUP#

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

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