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PEDIATRIC EMERGENCY CARE PROVIDERS PLLC

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Company Details

Legal Name: PEDIATRIC EMERGENCY CARE PROVIDERS PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 5th 2023
Expiration date: 30 Jun 2026
UBI Number: 605 267 606
ZIP code: 98405
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 315 MARTIN LUTHER KING JR WAY, TACOMA, WA, 98405-4234, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 5215, TACOMA, WA, 98415, UNITED STATES

Contact Details

E-Mail: SERVICECO@MPBA.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
MPBA SERVICE COMPANY LLC Registered Agent

Key Officers & Management

Name Role Address
BENJAMIN CONSTANCE Executor 315 MARTIN LUTHER KING JR WAY, TACOMA, WA, 98405-4234, UNITED STATES
WASHINGTON EMERGENCY CARE PHYSICIANS, INC. P.S. Governing Person -

National Provider Identifier

NPI Number:
1356021398
Certification Date:
2023-07-24

Authorized Person:

Name:
WENDE YOUNGER
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
207PP0204X - Pediatric Emergency Medicine (Emergency Medicine) Physician
Is Primary:
Yes

Contacts:

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