| Organization Name: | DOCTORS CLINIC A PROFESSIONAL CORPORATION |
| NPI Number: | 1073663480 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAY BURGHART (CEO) |
| Mailing Address: | 2200 Nw Myhre Rd Silverdale |
| State: | WA US |
| Postal Code: | 983837681 |
| Phone Number: | 3608301100 |
| Fax Number: | 3608301283 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 05/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Endoscopy |
| Taxonomy Definition: | |