| NPI | 1073757019 |
|---|---|
| Former Legal Business Name | DIGESTIVE DISEASE & ENDOSCOPY CENTER, PLLC |
| Entity Type | Organization |
| Authorized Contact | MARK ANDREW JOHNSON Practice Manager 360-479-1952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2019-09-11 |