| Peter E. Logerfo, Md, Pllc | |
|
11025 Canyon Rd E Suite A Puyallup WA 98373-4264 | |
| (253) 548-0453 | |
| (253) 548-3049 |
| Full Name | Peter E. Logerfo, Md, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 11025 Canyon Rd E, Puyallup, Washington |
| Authorized Official Name and Position | Peter Edward Logerfo (PHYSICIAN) |
| Authorized Official Contact | 2535480453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter E. Logerfo, Md, Pllc 11025 Canyon Rd E Suite A Puyallup WA 98373-4268 Ph: (253) 548-0453 | Peter E. Logerfo, Md, Pllc 11025 Canyon Rd E Suite A Puyallup WA 98373-4264 Ph: (253) 548-0453 |
| NPI Number | 1922190065 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 02/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922190065 | NPI | - | NPPES |
| 7117492 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00036213 (Washington) | Primary |
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