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NPI Code Detail

MEDICARE: ANA ELISA COLMENERO GARGARI

MEDICARE: ANA ELISA COLMENERO GARGARI
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
1207Q00000XFamily Medicine PhysicianMD60834036WA

General Provider Information

NPI Number : 1972112506
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA ELISA COLMENERO GARGARI
Provider Business Mailing Address
First Line : 7600 EVERGREEN WAY
Second Line :
City : EVERETT
State : WA
Zip : 98203-6421
Country : US
Telephone Number : 206-860-5414
Fax Number :
Provider Business Practice Location Address
First Line : 4420 76TH ST NE
Second Line :
City : MARYSVILLE
State : WA
Zip : 98270-3726
Country : US
Telephone Number : 360-651-7495
Fax Number : 360-651-7485
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2020
Last Update Date : 06/07/2026

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Directions to “ ANA ELISA COLMENERO GARGARI ” Practice Location

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