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Organization
SOUTH SOUND VASECTOMY AND MEN'S HEALTH
Active
Organization
SOUTH SOUND VASECTOMY AND MEN'S HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY NEAL ZOLA MD (MEDICAL DIRECTOR)
(360) 742-3562
Entity
Organization
Contact information
Practice address
324 W BAY DR NW, SUITE 105, OLYMPIA, WA 98502-4926
(360) 742-3562
(360) 915-7925
Mailing address
324 W BAY DR NW, SUITE 105, OLYMPIA, WA 98502-4926
(360) 742-3562
(360) 915-7925
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD60017650
WA
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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