NPI 1366710766

Providence Health Services, INC

Organisation Otolaryngology Physician Washington, DC

Practice location

Address: 1140 Varnum St NE Pmb 200, Washington, DC 20017-2151
Phone: (202) 854-4355
Fax: (202) 854-4398
Mailing address: 1160 Varnum St NE St Catherine's Hall, Room 102, Washington, DC 20017-2107

Authorised official

Name: Beau Higginbothan
Title: Vice President/Coo
Phone: (410) 368-3182

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence HFD01-0212 (DC)

Other Otolaryngology providers in District of Columbia →

General Acute Care Hospital

Hospitals Taxonomy 282N00000X Licence HFD01-0212 (DC)

Other General Acute Care Hospital providers in District of Columbia →

Registry record

NPI: 1366710766
Entity type: Organization
NPI issued: 13 Dec 2011
Record last updated: 1 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.