GENESIS OBSTETRICS AND GYNECOLOGY PLLC NPI 1972713055

NPI Information

NPI: 1972713055
Provider Name: GENESIS OBSTETRICS AND GYNECOLOGY PLLC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
314 MARTIN LUTHER KING JR WAY
SUITE 401
TACOMA, WA
ZIP 98405
Phone: (253) 460-7777
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GENESIS OBSTETRICS AND GYNECOLOGY PLLC is a gynecology obstetrics gynecology in Tacoma, WA. GENESIS OBSTETRICS AND GYNECOLOGY PLLC NPI is 1972713055. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

314 MARTIN LUTHER KING JR WAY
SUITE 401
TACOMA, WA
ZIP 98405-250
Phone: (253) 460-7777

The provider's authorized official is Johnette B Maehren .
The authorized official title is Owner and has the following contact phone number (253) 460-7777.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	OP00001459	WASHINGTON	Yes

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

NPI Synchronization or Removal

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