Charles V. Edmond JR.
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
104 27th Ave Se
Puyallup
, Washington 98374-1145
Charles V. Edmond JR.
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
104 27th Ave Se
Puyallup
, Washington 98374-1145
(253) 770-9712
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Charles V. Edmond JR.
- Po Box 1205
- Puyallup, WA
- Zip : 98371-0231
- Fax : (253) 770-9712
- Phone : (253) 770-9000
Second Address
- Charles V. Edmond JR.
- 104 27th Ave Se
- Puyallup, WA
- Zip : 98374-1145
- Fax : (253) 770-9712
- Phone : (253) 770-9000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD30364 | WA |
| N | 207YS0123X | Facial Plastic Surgeon | MD00030364 | WA |
National Provider Identifier
| NPI | 1851327324 |
|---|---|
| Provider Name | Charles V. Edmond JR. |
| First Address | Puyallup, WA 98371-0231 |
| Second Address | Puyallup, WA 98374-1145 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2006 |
| Last Update Date | 20/10/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8145229 | (05) | WA |
| F49329 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.