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Contact Information

PEDIATRIC EMERGENCY CARE PROVIDERS PLLC
1055 GOLF CLUB ROAD SOUTHEAST
LACEY, WA98503
 Phone: 253-403-8327
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC EMERGENCY CARE PROVIDERS PLLC · (Female)

NPI # 1356021398
Status Active
Credentials
Entity Individual
Enumeration date 07/24/2023
Last updated 07/24/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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