| Seattle Gastroenterology Associates | |
|
11027 Meridian Ave N Suite 100 Seattle WA 98133-1705 | |
| (206) 365-4492 | |
| (206) 368-3456 |
| Full Name | Seattle Gastroenterology Associates |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 11027 Meridian Ave N, Seattle, Washington |
| Authorized Official Name and Position | Eugenio J Hernandez (MANAGER) |
| Authorized Official Contact | 7862053464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seattle Gastroenterology Associates Po Box 34888 Seattle WA 98124-1888 Ph: (425) 977-4620 | Seattle Gastroenterology Associates 11027 Meridian Ave N Suite 100 Seattle WA 98133-1705 Ph: (206) 365-4492 |
| NPI Number | 1649212606 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649212606 | NPI | - | NPPES |
| 1045049 | Medicaid | WA | |
| 0031330 | Other | WA | LABOR AND INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Washington) | Primary |
| 291U00000X | Clinical Medical Laboratory | 600388519 (Washington) | Secondary |
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