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Contact Information

CECIL E SNODGRASS M.D. INC PS
1409 2ND ST SE
PUYALLUP, WA98372-3706
 Phone: 253-770-3939
 Fax: 253-770-9982
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for CECIL E SNODGRASS M.D. INC PS

NPI Number 1386829406
LBN Legal business name CECIL E SNODGRASS M.D. INC PS
Authorized official DENISE SNODGRASS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2008
Last updated 11/17/2009 - About 17 years ago
Identifiers
WA License # MD00015382
WA Medicaid 1517101
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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