institution
Surgical Weight Loss Clinic Pllc
Medical Specialty Clinic/Center in Tacoma, Washington
NPI 1811015399

Surgical Weight Loss Clinic Pllc is a Medical Specialty Clinic/Center based in Tacoma, WA and is specialized in Medical Specialty. Surgical Weight Loss Clinic Pllc practices in Tacoma, WA. The NPI Number for Surgical Weight Loss Clinic Pllc is 1811015399 and holds a License No. MD0002094 (Washington).

The current practice location address for Surgical Weight Loss Clinic Pllc is 3716 Pacific Ave, Tacoma, WA and can be reached out via phone at 253-472-9850. You can also correspond with Surgical Weight Loss Clinic Pllc through the mailing address at 3716 PACIFIC AVE, TACOMA, WA - 98418-7836 (mailing address contact number: 253-472-9850).

Location: 3716 Pacific Ave, Tacoma, WA, 98418-7836
institution
Provider Profile Details
NPI Number
1811015399
Provider Name
Surgical Weight Loss Clinic Pllc
Credential
Provider Entity Type
Organization
Address
3716 Pacific Ave, Tacoma, WA, 98418-7836
Phone Number
253-472-9850
Fax Number
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1306919725 01 WA NPI FOR EARL ROSS FOX
1942363353 01 WA NPI FOR SAMUEL ROSS FOX
1016468 01 WA DSHS FOR EARL ROSS FOX
8178618 01 WA DSHS FOR SAMUEL ROSS FOX
7124175 05 WA
institution
Provider Business Practice Location Address Details
Address
3716 Pacific Ave
City
State
Zip
98418-7836
Phone Number
253-472-9850
Fax Number
person
Provider Business Mailing Address Details
Address
3716 Pacific Ave
City
State
Zip
98418-7836
Phone Number
253-472-9850
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
MD0002094 (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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