Provider Demographics
NPI:1982945614
Name:SYNERGY HEALTH
Entity Type:Organization
Organization Name:SYNERGY HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANJA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-759-3586
Mailing Address - Street 1:2517 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-5841
Mailing Address - Country:US
Mailing Address - Phone:253-759-8970
Mailing Address - Fax:253-759-5746
Practice Address - Street 1:2517 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-5841
Practice Address - Country:US
Practice Address - Phone:253-759-8970
Practice Address - Fax:253-759-5746
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYNERGY HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty