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Organization

SITTILERK TRIKALSARANSUKH

Active
Other names
Tri-Cities Endoscopy Center, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
JANE M SILVEY (ADMINISTRATIVE DIRECTOR)
(509) 734-4885
Entity
Organization

Contact information

Practice address
7114 W HOOD PL, KENNEWICK, WA 99336-6712
(509) 734-4885
(509) 734-2576
Mailing address
7114 W HOOD PL, KENNEWICK, WA 99336-6712
(509) 734-4885
(509) 734-2576

Taxonomy

Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1017VA
ASURIS VONG MD
WA
05
1087543
WA
01
3860TR
ASURIS SITTI MD
WA
01
5980382
AETNA SITTI MD
WA
01
6500TR
ASURIS GROUP NUMBER
WA
05
7105778
WA
05
7107584
WA
01
7527172
AETNA GROUP NUMBER
WA
01
7605381
AETNA VONG MD
WA
05
8428732
WA
Enumeration date
08/14/2006
Last updated
03/09/2010
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