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Contact Information

PEDIATRIC SPECIALTY PRACTICES, PLLC
32124 1ST AVE S STE 100
FEDERAL WAY, WA98003-5761
 Phone: 253-661-5939
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC SPECIALTY PRACTICES PLLC · (Female)

NPI # 1699233080
Status Active
Credentials
Entity Individual
Enumeration date 03/05/2019
Last updated 05/16/2024 - About 2 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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