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Organization

WASHINGTON STATE UNIVERSITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY BASZLER (EXECUTIVE DIRECTOR)
(509) 335-6047
Entity
Organization

Contact information

Practice address
BUSTAD HALL ROOM 155N, PULLMAN, WA 99164-0001
(509) 335-6047
(509) 335-7424
Mailing address
PO BOX 647034, PULLMAN, WA 99164-7034
(509) 335-6047
(509) 333-5742

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
07/09/2020
Last updated
07/13/2020
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