Organization
TENINO FAMILY PRACTICE PLLC
Active
Other names
Leyton Jump MD Sole Member
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEYTON ENDICOTT JUMP MD (SOLE MEMBER)
(360) 264-5665
Entity
Organization
Contact information
Practice address
273 SUSSEX AVE E, TENINO, WA 98589-9359
(360) 264-5665
(360) 264-5666
Mailing address
PO BOX 4020, TENINO, WA 98589-4020
(360) 264-5665
(360) 264-5666
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
MD00022762
WA
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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