Organization
NORTHWEST SURGICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CLARENCE WILLIARD M.D. (PHYSICIAN)
(360) 754-1029
Entity
Organization
Contact information
Practice address
3920 CAPITOL MALL DR SW, SUITE 201, OLYMPIA, WA 98502-8700
(360) 754-1029
(390) 754-7885
Mailing address
3920 CAPITOL MALL DR SW, SUITE 201, OLYMPIA, WA 98502-8700
(360) 754-1029
(390) 754-7885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
601009261
WA
208600000X
Surgery Physician
Primary
MD00029497
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7105182
—
WA
Enumeration date
07/05/2006
Last updated
05/31/2012
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