Organization
MOUNT RAINIER UROLOGY, INC, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON PHILIP ZADINA M.D. (PRESIDENT & SOLO PRACTITIONER)
(360) 350-0281
Entity
Organization
Contact information
Practice address
703 LILLY RD NE, SUITE 106, OLYMPIA, WA 98506-5191
(360) 350-0281
(360) 918-8280
Mailing address
703 LILLY RD NE, SUITE 106, OLYMPIA, WA 98506-5191
(360) 350-0281
(360) 918-8280
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD 60116602
WA
Other
Enumeration date
01/13/2010
Last updated
02/23/2015
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