South Sound Pulmonary Associates
Specialist in Olympia, WA. Organization (NPI-2).
NPI number1790768547
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790768547
- Entity type
- Organization (NPI-2)
- Legal business name
- South Sound Pulmonary Associates
- Organization subpart
- No
- Enumeration date
- Nov 25, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
500 Lilly Rd NeSuite 201
Olympia, WA 98506-5197
Phone 360-413-8272 · Fax 360-413-8878
Mailing address
500 Lilly Rd NeSuite 201
Olympia, WA 98506-5197
Phone 360-413-8272 · Fax 360-413-8878
Authorized official
Rex W Bolin
Managing Partner
3604138257
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