Organization
DANIEL T. DUGAW,D.O., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL T. DUGAW D.O. (OWNER)
(360) 352-8781
Entity
Organization
Contact information
Practice address
405 BLACK HILLS LN SW, SUITE E, OLYMPIA, WA 98502-8661
(360) 352-8781
(360) 352-8837
Mailing address
405 BLACK HILLS LN SW, SUITE E, OLYMPIA, WA 98502-8661
(360) 352-8781
(360) 352-8837
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000759
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235803
—
WA
01
—
35974
LABOR & INDUSTRIES
WA
Enumeration date
02/11/2009
Last updated
02/11/2009
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