NPI 1669419495 · live from the CMS NPI Registry
Elizabeth K Broussard, M.D.
Internal Medicine, Gastroenterology in Seattle, WA. National Provider Identifier 1669419495, active.
NPI record
| NPI | 1669419495 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 1959 Ne Pacific St, Seattle, WA 98195 |
| Practice phone | 206-598-4377 |
| Mailing address | Po Box 50095, Seattle, WA 98145 |
| Enumerated | June 1, 2006 |
| Last updated | April 16, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | MD00042785 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.