Phs Gen Surg Dp306
Phs Gen Surg Dp306 is a Surgery Physician in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2015.
- Licensed in
- DC
- In the registry since
- 2015
Practice location Address checks out
1160 Varnum St NE Depaul 306Washington, DC 20017-2107
Phone: (202) 854-4069
Fax: (202) 854-7825
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Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence HFD01-0212 (DC) |
|---|
Record details
| NPI number | 1457730244 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Hospital |
| Authorized official | Beau Higginbotham — President/Coo · (410) 368-3162 |
| Other names | Providence Health Services |
| NPI enumerated | May 26, 2015 |
| Last updated in NPPES | October 9, 2017 |
| Mailing address | 1160 Varnum St Ne, St Catherines'S Hall, Room 102, Washington, DC 20017-2107 |
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Phs Gen Surg Dp307
1160 Varnum St NE Depaul 307, Washington, DC 20017-2107 · (202) 854-4014
-
Phs General Surgry Dp318
1160 Varnum St NE Depaul 318, Washington, DC 20017-2107 · (202) 854-4014
-
Phs Multispecialty Services
1160 Varnum St NE Depaul 300, Washington, DC 20017-2107 · (202) 854-4014
-
Providence Health Services
1160 Varnum St NE Depaul 104, Washington, DC 20017-2107 · (202) 854-4440