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Organization
WARREN PHYSICIAN SERVICES
Active
Organization
WARREN PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG M WARREN D.O. (OWNER)
(360) 704-9116
Entity
Organization
Contact information
Practice address
5420 22ND AVE SE, LACEY, WA 98503-2804
(360) 491-5055
Mailing address
1401 MARVIN RD NE, STE 307 PMB 266, LACEY, WA 98516-5749
(360) 491-5055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
WA
Other
Enumeration date
02/03/2010
Last updated
05/03/2010
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