Healthcare Provider Details

I. General information

NPI: 1386486199
Provider Name (Legal Business Name): SOUND CANCER CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2024
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 S MERIDIAN STE 100
PUYALLUP WA
98373-1659
US

IV. Provider business mailing address

2940 S MERIDIAN STE 100
PUYALLUP WA
98373-1659
US

V. Phone/Fax

Practice location:
  • Phone: 253-200-3166
  • Fax: 253-446-6735
Mailing address:
  • Phone: 253-200-3166
  • Fax: 253-446-6735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: DR. KEVIN EUGENE SANDERS
Title or Position: PHYSICIAN
Credential: MD, PHD
Phone: 253-200-3166