| Western Wa Medical Group, Inc. Dept Of Gastroenterology | |
|
4225 Hoyt Ave Ste A Everett WA 98203-2351 | |
| (425) 259-3122 | |
| (425) 252-9860 |
| Full Name | Western Wa Medical Group, Inc. Dept Of Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4225 Hoyt Ave Ste A, Everett, Washington |
| Authorized Official Name and Position | Vicki Mcginnis (HIPAA PRIVACY OFFICER) |
| Authorized Official Contact | 4252594041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Wa Medical Group, Inc. Dept Of Gastroenterology 4225 Hoyt Ave Ste A Everett WA 98203-2351 Ph: (425) 259-3122 | Western Wa Medical Group, Inc. Dept Of Gastroenterology 4225 Hoyt Ave Ste A Everett WA 98203-2351 Ph: (425) 259-3122 |
| NPI Number | 1023236528 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 02/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023236528 | NPI | - | NPPES |
| 0050070 | Other | WA | LABOR & INDUSTRIE |
| 7056971 | Medicaid | WA | |
| CB4745 | Other | WA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 601474013 (Washington) | Primary |
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