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Capital Pediatrics, PLLC

Pediatrics in Olympia, WA. Organization (NPI-2).

NPI number1619137635
StatusActive
Last updated in NPPESApr 11, 2013

Details

NPI
1619137635
Entity type
Organization (NPI-2)
Legal business name
Capital Pediatrics, PLLC
Organization subpart
No
Enumeration date
Jun 12, 2008
Last updated
Apr 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Practice location

2112 Caton Way Sw
Olympia, WA 98502-1105

Phone 360-754-1629 · Fax 360-754-1964

Mailing address

2112 Caton Way Sw
Olympia, WA 98502-1105

Phone 360-754-1629 · Fax 360-754-1964

Authorized official

Janet Ness
Office Manager
3607541629

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