NPI 1033270848

Jeremy S Ennis, DO

Practitioner Family Medicine Physician Bremerton, WA

Practice location

Address: 1 Boone Rd, Bremerton, WA 98312-1894
Phone: (360) 315-4412

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 688 (NE)

Other Family Medicine providers in Washington →

Military Health Care Provider

Other Service Providers Taxonomy 171000000X Licence 688 (NE)

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Registry record

NPI: 1033270848
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2006
Record last updated: 28 Apr 2023

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.