# OLYMPIA ANESTHESIA ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528016870
- **Authorized official:** MARK WAGNER MD (HEAD OF GROUP)
- **Authorized official phone:** (360) 493-6400

## Contact information

- **Practice address:** 205 LILLY RD NE, SUITE D, OLYMPIA, WA 98506-5069
- **Practice address phone:** (360) 493-6400
- **Mailing address:** PO BOX 94625, SEATTLE, WA 98124-6925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 11/14/2007