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DIGESTIVE DISEASE & ENDOSCOPY CENTER LLC NPI 1073757019


NPI Information

NPI: 1073757019
Provider Name: DIGESTIVE DISEASE & ENDOSCOPY CENTER, LLC

Former Legal Business Name: DIGESTIVE DISEASE & ENDOSCOPY CENTER, PLLC

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
3261 NW MOUNT VINTAGE WAY STE 221
SILVERDALE, WA
ZIP 98383
Phone: (360) 479-1952
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DIGESTIVE DISEASE & ENDOSCOPY CENTER, LLC is a gastroenterology internal medicine in Silverdale, WA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DIGESTIVE DISEASE & ENDOSCOPY CENTER, LLC NPI is 1073757019. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Digestive Disease & Endoscopy Center, Pllc.

The provider's business location address is:

3261 NW MOUNT VINTAGE WAY STE 221
SILVERDALE, WA
ZIP 98383-039
Phone: (360) 479-1952
Fax: (360) 479-1952

The provider's authorized official is Mark Andrew Johnson .
The authorized official title is Practice Manager and has the following contact phone number (360) 479-1952.

The enumeration date for this NPI number is 4/21/2009 and was last updated on 9/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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