Provider Demographics
NPI:1316782808
Name:IGH PLLC
Entity type:Organization
Organization Name:IGH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PHIFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-200-4419
Mailing Address - Street 1:1037 NE 65TH STREET
Mailing Address - Street 2:STE #371
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115
Mailing Address - Country:US
Mailing Address - Phone:425-200-4419
Mailing Address - Fax:833-909-0052
Practice Address - Street 1:85 SOUTH WASHINGTON STREET
Practice Address - Street 2:STE #213
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:425-200-4419
Practice Address - Fax:833-909-0052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty