Healthcare Provider Details

I. General information

NPI: 1982945614
Provider Name (Legal Business Name): SYNERGY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2013
Last Update Date: 03/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2517 N WASHINGTON ST
TACOMA WA
98406-5841
US

IV. Provider business mailing address

2517 N WASHINGTON ST
TACOMA WA
98406-5841
US

V. Phone/Fax

Practice location:
  • Phone: 253-759-8970
  • Fax: 253-759-5746
Mailing address:
  • Phone: 253-759-8970
  • Fax: 253-759-5746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANJA CRIDER
Title or Position: OWNER
Credential: MD
Phone: 253-759-3586