Organization
PHD2 OF SNOHOMISH COUNTY
Active
Other names
Stevens Center for Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L. WANGSMO (CHIEF FINANCIAL OFFICER)
(425) 640-4113
Entity
Organization
Contact information
Practice address
7320 216TH ST SW, SUITE 200, EDMONDS, WA 98026-8006
(425) 640-4901
(425) 640-4919
Mailing address
7320 216TH ST SW, SUITE 200, EDMONDS, WA 98026-8006
(425) 640-4901
(425) 640-4919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35870
LABOR AND INDUSTRIES
WA
05
—
7059371
—
WA
01
—
CG1766
MEDICARE RAILROAD GROUP
WA
01
—
CJ4104
MEDICARE RAILROAD GROUP
WA
01
—
DB5880
MEDICARE RAILROAD GROUP
WA
01
—
DE0413
MEDICARE RAILROAD GROUP
WA
Enumeration date
04/06/2006
Last updated
12/10/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us