Puyallup Valley Pediatric Associates, P.s.
Pediatric Adolescent Medicine
Puyallup Valley Pediatric Associates, P.s. is a Puyallup, Washington based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
1322 3rd St Se, Suite #240, Puyallup, Washington - 98372-3771. They can be contacted on phone at
253-848-1572 and fax number 253-841-3719.
NPI number (Unique professional ID) for Puyallup Valley Pediatric Associates, P.s. is
1497962831 which was assigned by NPPES on 16 May, 2007 and it was last updated on 22 Aug, 2020.
Puyallup Valley Pediatric Associates, P.s. 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.
Complete Profile:
Puyallup Valley Pediatric Associates, P.s. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Puyallup Valley Pediatric Associates, P.s. |
|---|
Business Address:
Puyallup Valley Pediatric Associates, P.s. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1322 3rd St Se, Suite #240
Puyallup, WA, 98372-3771
United States |
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| Phone Number : | 253-848-1572 |
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| Fax Number : | 253-841-3719 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1497962831 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 16 May, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Timothyb Jolley |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER |
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| Phone Number : | 253-848-1572 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Puyallup Valley Pediatric Associates, P.s. are as mentioned. Primary taxonomy code for Puyallup Valley Pediatric Associates, P.s. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Puyallup Valley Pediatric Associates, P.s. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7142607 | MEDICAID | WA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1322 3rd St Se, Suite #240
Puyallup, WA, 98372-3771
United States |
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| Phone Number : | 253-848-1572 |
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| Fax Number : | 253-841-3719 |
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Business Location:
Patients can refer following map for directions to
Puyallup Valley Pediatric Associates, P.s. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.