Leyton Endicott Jump

NPI #1851357008 in Tenino, Washington

Provider Information

NPI Number: 1851357008
Entity Type: Organization
Organization Name: Leyton Endicott Jump
Primary Specialty: Family Medicine
Enumeration Date: Apr 25, 2006
Last Updated: Jun 4, 2013

Practice Location

Address: 273 SUSSEX AVE E
City: Tenino
State: Washington
ZIP Code: 98589-9359
Phone: (360) 264-5665

Authorized Official

Name: DR. LEYTON ENDICOTT JUMP, MD
Title: OWNER
Phone: (360) 264-5665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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