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Organization
PIONEER FAMILY PRACTICE, PLLC
Active
Organization
PIONEER FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M TAYLOR (BUSINESS MANAGER)
(360) 413-8617
Entity
Organization
Contact information
Practice address
5130 CORPORATE CENTER CT SE, LACEY, WA 98503-5957
(360) 413-8600
(360) 413-8822
Mailing address
5130 CORPORATE CENTER CT SE, LACEY, WA 98503-5957
(360) 413-8600
(360) 413-8822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
03/07/2023
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