Gregory Mark Ennis in Gig Harbor - Family Medicine
Gregory Mark Ennis - NPI 1245220672
Gregory Mark Ennis is a Family Medicine in Gig Harbor, Washington. Gregory Mark Ennis practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gregory Mark Ennis is 1245220672. The last update date is 2020-12-03.
Gregory Mark Ennis's current location address is 6401 Kimball Dr, Gig Harbor, Washington. You can contact this provider via phone number 2538589192 and fax number 2539852853. The mailing address for Gregory Mark Ennis is 6401 Kimball Dr, Gig Harbor, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Mark Ennis |
|---|---|
| Address | 6401 Kimball Dr, Gig Harbor, Washington |
| Phone Number | 2538589192 |
| Fax Number | 2539852853 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245220672 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2020-12-03 |
Provider Mailing Address Detail
| Address | 6401 Kimball Dr |
|---|---|
| City | Gig Harbor |
| State | Washington (WA) |
| Post Code | 983351228 |
| Phone Number | 2538589192 |
| Fax Number | 2539852853 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD60105263 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1366539421 | WA | -- | |
| 2040574 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gregory Mark Ennis by the Centers for Medicare & Medicaid Services?
The Gregory Mark Ennis has been issued the NPI (National Provider Identifier) 1245220672, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gregory Mark Ennis is physically located?
The Gregory Mark Ennis is situated at the following address: 6401 Kimball Dr, Gig Harbor, WA 983351228.
What is Gregory Mark Ennis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gregory Mark Ennis is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1245220672 to Gregory Mark Ennis?
The Centers for Medicare & Medicaid Services assigned the 1245220672 to Gregory Mark Ennis on 2005-10-26.
When was the information regarding Gregory Mark Ennis most recently updated?
The details pertaining to the Gregory Mark Ennis, including its address, specialty, and other relevant information, were last refreshed on 2020-12-03.