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NPI Code Detail

MEDICARE: SUMMIT VIEW CLINIC, INC., P.S.

MEDICARE: SUMMIT VIEW CLINIC, INC., P.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianWA

General Provider Information

NPI Number : 1871513291
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT VIEW CLINIC, INC., P.S.
Provider Business Mailing Address
First Line : 11019 CANYON ROAD EAST, SUITE A
Second Line :
City : PUYALLUP
State : WA
Zip : 98373-4298
Country : US
Telephone Number : 253-537-0293
Fax Number : 253-537-7650
Provider Business Practice Location Address
First Line : 11019 CANYON RD E
Second Line : SUITE A
City : PUYALLUP
State : WA
Zip : 98373-4298
Country : US
Telephone Number : 253-537-0293
Fax Number : 253-537-7650
Authorized Official
Title or Position : CEO
Name : WARREN E MILLER
Credential : M.D.
Telephone Number : 253-537-0293
Provider Enumeration Date : 07/20/2006
Last Update Date : 03/11/2013

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1679578512 — ROBERT M ALSTON M.D.
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11019 CANYON RD E , STE A
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1295731578 — STEPHEN M. EGGE M.D.
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1548218779 — SUSAN H FISH PA-C
Practice Location Address:
11019 CANYON RD E , SUITE A
PUYALLUP, WA
98373-4298
Practice Phone: 253-537-0293
Practice Fax: 253-537-7650
1851349021 — DR. WARREN E MILLER M.D.
Practice Location Address:
11019 CANYON RD E , SUITE A
PUYALLUP, WA
98373-4298
Practice Phone: 253-537-0293
Practice Fax: 253-537-7650
1740238914 — WILLIAM G MARSH M.D.
Practice Location Address:
11019 CANYON RD E , SUITE A
PUYALLUP, WA
98373-4298
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Practice Fax: 253-537-7650
1710916986 — KURT JOSEPH WARKENTHIEN M.D.
Practice Location Address:
11019 CANYON RD E , SUITE A
PUYALLUP, WA
98373-4298
Practice Phone: 253-537-0293
Practice Fax: 253-537-7650

Directions to “SUMMIT VIEW CLINIC, INC., P.S. ” Practice Location

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