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Individual

DR. STEVEN RANDALL GISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FACS

Contact information

Practice address
11511 CANTERWOOD BLVD STE 140, GIG HARBOR, WA 98332-5817
(253) 530-2940
(253) 857-1489
Mailing address
11511 CANTERWOOD BLVD STE 140, GIG HARBOR, WA 98332-5817
(253) 530-2940
(253) 857-1489

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD22272
OR
208600000X
Surgery Physician
Primary
MD230377
OR
208600000X
Surgery Physician
MD60891541
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020045017
RR MEDICARE PTAN NUMBER
OR
01
1407812365
NBMC NPI NUMBER-GROUP
OR
05
2111643
WA
05
288447
OR
01
930635514
GROUP TAX ID
OR
01
CD8723
RR MEDICARE GROUP NUMBER
OR
01
R0000WFBTV
MEDICARE GROUP PIN
OR
Enumeration date
12/05/2005
Last updated
05/12/2026
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