| Purity Medical Spa Of Washington, Llc | |
|
117 15th Ave Se Puyallup WA 98372-3753 | |
| (253) 904-8677 | |
| Not Available |
| Full Name | Purity Medical Spa Of Washington, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 117 15th Ave Se, Puyallup, Washington |
| Authorized Official Name and Position | Fadi Alhafez (MD) |
| Authorized Official Contact | 2539048677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purity Medical Spa Of Washington, Llc 117 15th Ave Se Puyallup WA 98372-3753 Ph: (253) 904-8677 | Purity Medical Spa Of Washington, Llc 117 15th Ave Se Puyallup WA 98372-3753 Ph: (253) 904-8677 |
| NPI Number | 1376020537 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 07/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376020537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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