Organization
DIGESTIVE HEALTH SPECIALISTS PS
Active
Organization
DIGESTIVE HEALTH SPECIALISTS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GORALSKY (CHIEF OPERATING OFFICER)
(253) 383-8342
Entity
Organization
Contact information
Practice address
17700 SE 272ND ST, 420, KENT, WA 98042-4951
(253) 639-9660
(253) 372-7072
Mailing address
PO BOX 1241, TACOMA, WA 98401-1241
(253) 272-8148
(253) 404-0506
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
50D0712074
WA
291U00000X
Clinical Medical Laboratory
MTS-2274
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7841604
—
WA
01
—
CD8128
RAILROAD MEDICARE #
WA
Enumeration date
06/30/2008
Last updated
05/08/2017
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