Organization
HENRY L DEGIVE MD MC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY L DEGIVE MD (PRESIDENT)
(360) 456-1600
Entity
Organization
Contact information
Practice address
3525 ENSIGN RD, SUITE K, OLYMPIA, WA 98506
(360) 456-1600
(360) 456-3827
Mailing address
3525 ENSIGN RD, SUITE K, OLYMPIA, WA 98506
(360) 456-1600
(360) 456-3827
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00017990
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1584606
—
WA
Enumeration date
11/13/2006
Last updated
08/22/2020
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