| South Perry Endoscopy Pllc | |
|
907 South Perry Street Suite 203 Spokane WA 99202 | |
| (509) 868-8816 | |
| Not Available |
| Full Name | South Perry Endoscopy Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 907 South Perry Street Suite 203, Spokane, Washington |
| Authorized Official Name and Position | Harold Gerhard Preiksaitis (OWNER/CEO) |
| Authorized Official Contact | 5098688816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Perry Endoscopy Pllc 907 S Perry St Ste 203 Spokane WA 99202-3462 Ph: (509) 868-8816 | South Perry Endoscopy Pllc 907 South Perry Street Suite 203 Spokane WA 99202 Ph: (509) 868-8816 |
| NPI Number | 1407238173 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 06/18/2015 |
| Medicare PECOS PAC ID | 3173830866 |
|---|---|
| Medicare Enrollment ID | O20150911002501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407238173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD 0042906 (Washington) | Primary |
| Provider Name | Harold G Preiksaitis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962495283 PECOS PAC ID: 4688572167 Enrollment ID: I20031222000375 |
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