Individual
DR. DAVID MONROE GENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
900 SHERIDAN RD, SUITE 101, BREMERTON, WA 98310-2701
(360) 377-2233
(360) 377-9131
Mailing address
900 SHERIDAN RD, SUITE 101, BREMERTON, WA 98310-2701
(360) 377-2233
(360) 377-9131
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000724
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162311
WA L&I
WA
01
—
4205GE
BC/BS PROVIDER #
WA
05
—
8321366
—
WA
01
—
9055526
MEDICAID DME
WA
01
—
P00026782
RR MCR
—
Enumeration date
11/17/2005
Last updated
03/30/2009
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