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Individual

DR. ZACHARY IAN ABBOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3901 CAPITAL MALL DR SW, STE A, OLYMPIA, WA 98502-8654
(360) 786-8990
(360) 786-9010
Mailing address
PO BOX 368, OLYMPIA, WA 98507-0368
(360) 455-5144
(360) 491-7536

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
OP60077457
WA
208VP0014X
Interventional Pain Medicine Physician
Primary
OP60077457
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8537953
WA
Enumeration date
03/16/2007
Last updated
04/17/2013
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