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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