Individual
SIMON P ZADINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
33196
MN
208800000X
Urology Physician
Primary
MD6011602
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0259730
L&I
WA
05
—
208800000X
—
MN
Enumeration date
08/10/2005
Last updated
02/18/2015
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