Organization
RESPIRATORY PHYSICIANS OF SOUTHWEST WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL WAYLON BLACK MD (OWNER PHYSICIAN)
(360) 754-1739
Entity
Organization
Contact information
Practice address
3920 CAPITOL MALL DR SW, STE 304, OLYMPIA, WA 98502-8700
(360) 754-1739
(360) 236-1450
Mailing address
3920 CAPITOL MALL DR SW, STE 304, OLYMPIA, WA 98502-8700
(360) 754-1739
(360) 236-1450
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00013879
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029578
—
WA
Enumeration date
06/06/2007
Last updated
11/20/2012
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