# CAPITAL MEDICAL CENTER PHYSICIANS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Olympia Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629214283
- **Authorized official:** WILLIAM GLENN ROBERTSON (CEO)
- **Authorized official phone:** (253) 403-1272

## Contact information

- **Practice address:** 3920 CAPITAL MALL DR SW \#200, OLYMPIA, WA 98502
- **Practice address phone:** (360) 596-4899
- **Practice address fax:** (360) 596-4889
- **Mailing address:** P.O. BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/31/2008
- **Last updated:** 09/02/2025