Provider Demographics
NPI:1326267022
Name:TRI CITIES OB AND GYN PC
Entity Type:Organization
Organization Name:TRI CITIES OB AND GYN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-222-5650
Mailing Address - Street 1:7131 W DESCHUTES AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7801
Mailing Address - Country:US
Mailing Address - Phone:509-222-5650
Mailing Address - Fax:509-222-5651
Practice Address - Street 1:7131 W DESCHUTES AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7801
Practice Address - Country:US
Practice Address - Phone:509-222-5650
Practice Address - Fax:509-222-5651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7124597Medicaid
WAP00406938OtherMEDICARE RAILROAD PTAN
WAG8808537Medicare PIN