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NPI Code Detail

MEDICARE: DR. GIB KIRK LINZMAN DO

MEDICARE: DR. GIB KIRK LINZMAN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianOP61052303WA

General Provider Information

NPI Number : 1891211249
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GIB KIRK LINZMAN DO
Provider Business Mailing Address
First Line : PO BOX 24029
Second Line :
City : SEATTLE
State : WA
Zip : 98124-0029
Country : US
Telephone Number : 360-417-7000
Fax Number : 360-417-7318
Provider Business Practice Location Address
First Line : 939 CAROLINE ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-3997
Country : US
Telephone Number : 360-417-7000
Fax Number : 360-417-7318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2017
Last Update Date : 04/15/2026

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