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Patricia A Charochak, D.o. P.s
Medical Specialty Clinic/Center in Puyallup, Washington
NPI 1174895486

Patricia A Charochak, D.o. P.s is a Medical Specialty Clinic/Center based in Puyallup, WA and is specialized in Medical Specialty. Patricia A Charochak, D.o. P.s practices in Puyallup, WA. The NPI Number for Patricia A Charochak, D.o. P.s is 1174895486 and holds a License No. OP00000826 (Washington).

The current practice location address for Patricia A Charochak, D.o. P.s is 8112 112Th Street Ct E, Puyallup, WA and can be reached out via phone at 253-848-5555 and via fax at 253-848-5922.

Location: 8112 112Th Street Ct E, Puyallup, WA, 98373-7815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174895486
Provider Name
Patricia A Charochak, D.o. P.s
Credential
Provider Entity Type
Organization
Address
8112 112Th Street Ct E, Puyallup, WA, 98373-7815
Phone Number
253-848-5555
Fax Number
253-848-5922
Provider Enumeration Date
02/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8112 112Th Street Ct E
City
Puyallup
State
Washington
Zip
98373-7815
Phone Number
253-848-5555
Fax Number
253-848-5922
person
Provider Business Mailing Address Details
Address
8112 112Th Street Ct E
City
Puyallup
State
Washington
Zip
98373-7815
Phone Number
253-848-5555
Fax Number
253-848-5922
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
OP00000826 (Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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