Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEYTON ENDICOTT JUMP
Active Sole ProprietorLEYTON ENDICOTT JUMP is a General Practice healthcare provider located in TENINO, Washington. NPI 1790741924 is currently active in the NPPES registry. Verify at CMS.
General Practice · TENINO, WA
Registration Details
- NPI Number
- 1790741924
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2006 (20.335761012448 yrs)
- Last Updated
- Feb 26, 2015
- License
-
MD00022762 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
273 SUSSEX AVE ETENINO, WA, 985899359Browse WA providers · Browse ZIP 98589
- Phone
- 3602645665
- Fax
- 3602645666
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.