Individual
ANDREA MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7089
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60732543
WA
208M00000X
Hospitalist Physician
Primary
MD60732543
WA
Other
Enumeration date
04/08/2014
Last updated
04/27/2021
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