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Organization

PEARL PLASTIC SURGERY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL J ALBERSHARDT MD (MANAGER)
(360) 438-6400
Entity
Organization

Contact information

Practice address
145 LILLY RD NE STE 102, OLYMPIA, WA 98506-5028
(360) 878-9300
(360) 878-9666
Mailing address
145 LILLY RD NE STE 102, OLYMPIA, WA 98506-5028
(360) 878-9300
(360) 878-9666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
208200000X
Plastic Surgery Physician
208600000X
Surgery Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
08/22/2024
Last updated
08/22/2024
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