NPI 1710149802 · live from the CMS NPI Registry
Digestive Health Specialists Ps
Internal Medicine, Gastroenterology in Kent, WA. National Provider Identifier 1710149802, active.
NPI record
| NPI | 1710149802 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 17700 Se 272nd St, 420, Kent, WA 98042 |
| Practice phone | 253-639-9660 |
| Mailing address | Po Box 1241, Tacoma, WA 98401 |
| Enumerated | June 30, 2008 |
| Last updated | May 8, 2017 |
| Authorized official | Nicholas Goralsky, Chief Operating Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Medical Laboratory | 291U00000X | MTS-2274 (WA) |
| Clinical Medical Laboratory | 291U00000X | 50D0712074 (WA) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.