| Kitsap Gastro And Liver Clinic, Pllc | |
|
22180 Olympic College Way Nw Ste 204 Poulsbo WA 98370-6664 | |
| (360) 447-8951 | |
| Not Available |
| Full Name | Kitsap Gastro And Liver Clinic, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22180 Olympic College Way Nw Ste 204, Poulsbo, Washington |
| Authorized Official Name and Position | Abimbola Adike (PHYSICIAN OWNER) |
| Authorized Official Contact | 4054748475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kitsap Gastro And Liver Clinic, Pllc 22180 Olympic College Way Nw Ste 204 Poulsbo WA 98370-6664 Ph: (360) 447-8951 | Kitsap Gastro And Liver Clinic, Pllc 22180 Olympic College Way Nw Ste 204 Poulsbo WA 98370-6664 Ph: (360) 447-8951 |
| NPI Number | 1013668524 |
|---|---|
| Provider Enumeration Date | 01/17/2022 |
| Last Update Date | 03/02/2022 |
| Medicare PECOS PAC ID | 4082009006 |
|---|---|
| Medicare Enrollment ID | O20220309002189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013668524 | NPI | - | NPPES |
| Provider Name | Abimbola O Adike |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821357112 PECOS PAC ID: 2466767140 Enrollment ID: I20181025000668 |
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