Organization
VOGELGESANG, PLLC
Active
Other names
Alliance Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE STEWART (CREDENTIALING MANAGER)
(360) 866-7990
Entity
Organization
Contact information
Practice address
3240 14TH AVE NW, OLYMPIA, WA 98502-8509
(360) 866-7990
(360) 866-4577
Mailing address
PO BOX 11789, OLYMPIA, WA 98508-1789
(360) 866-7990
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1077064
—
WA
Enumeration date
05/17/2006
Last updated
04/23/2018
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