Provider Demographics
NPI:1043200942
Name:PUGET SOUND ALLERGY ASTHMA & IMMUNOLOGY
Entity Type:Organization
Organization Name:PUGET SOUND ALLERGY ASTHMA & IMMUNOLOGY
Other - Org Name:ALLERGY ASSOCIATES OF TACOMA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:B
Authorized Official - Last Name:VEGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-383-4721
Mailing Address - Street 1:1901 S UNION AVE
Mailing Address - Street 2:STE B-6010
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1806
Mailing Address - Country:US
Mailing Address - Phone:253-383-4721
Mailing Address - Fax:253-627-4296
Practice Address - Street 1:1901 S UNION AVE
Practice Address - Street 2:STE B-6010
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1702
Practice Address - Country:US
Practice Address - Phone:253-383-4721
Practice Address - Fax:253-627-4296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-24
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00026151207KI0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory ImmunologyGroup - Single Specialty