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Organization
CAPITAL MEDICAL CENTER PHYSICIANS LLC
Active
Organization
CAPITAL MEDICAL CENTER PHYSICIANS LLC
Active
Other names
Pioneer Family Practice by MultiCare
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GLENN ROBERTSON (CEO)
(253) 403-1272
Entity
Organization
Contact information
Practice address
5130 CORPORATE CENTER CT SE, LACEY, WA 98503-5957
(360) 413-8600
(360) 413-8822
Mailing address
P.O. BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
08/04/2025
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