| NPI | 1306973235 |
|---|---|
| Former Legal Business Name | DIGESTIVE DISEASE & ENDOSCOPY CENTER, PLLC |
| Entity Type | Organization |
| Authorized Contact | MARK JOHNSON Practice Manager 360-792-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA ASF.FS.60287214) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-09-05 |