Kitsap Colorectal Surgery INC Ps

NPI #1245566348 in Bremerton, Washington

Provider Information

NPI Number: 1245566348
Entity Type: Organization
Organization Name: Kitsap Colorectal Surgery INC Ps
Primary Specialty: Surgery
Enumeration Date: Oct 23, 2009
Last Updated: Oct 23, 2009

Practice Location

Address: 2528 WHEATON WAY
Address 2: SUITE 103
City: Bremerton
State: Washington
ZIP Code: 98310-3305
Phone: (360) 377-4717

Authorized Official

Name: DR. JOHNNY B GREEN, MD
Title: PRESIDENT
Phone: (360) 377-4717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Colon & Rectal Surgery	208C00000X
Surgery	208600000X	Primary

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