NPI | 1144069808 |
---|---|
Other Name | PACIFIC GASTROENTEROLOGY OFFICE |
Entity Type | Organization |
Authorized Contact | MARYAM FERDOWS Office Manager 360-823-0880 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
261QM2500X Clinic/Center, Medical Specialty | |
Enumeration Date | 2024-05-22 |
Last Update Date | 2025-05-30 |