Organization
TRI-CITIES DIGESTIVE HEALTH CENTER, P.S.
Active
Parent organization
TRI-CITIES DIGESTIVE HEALTH CENTER, P.S.
Other names
Tri-Cities Digestive Health ASC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-CITIES DIGESTIVE HEALTH CENTER, P.S.
Authorized official
SOMPRAK BOONPONGMANEE M.D. (OWNER)
(509) 946-9747
Entity
Organization
Contact information
Practice address
780 SWIFT BLVD STE 280, RICHLAND, WA 99352-3582
(509) 946-9747
(509) 946-0970
Mailing address
780 SWIFT BLVD STE 280, RICHLAND, WA 99352-3582
(509) 946-9747
(509) 946-0970
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7109432
—
WA
Enumeration date
04/30/2008
Last updated
07/30/2008
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