Individual
NOEL M CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 LILLY RD NE, OLYMPIA, WA 98506-5030
(360) 456-4800
(360) 413-9476
Mailing address
215 LILLY RD NE, OLYMPIA, WA 98506-5030
(360) 456-4800
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD60847735
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60847735
STATE MEDICAL LICENSE
WA
Enumeration date
03/01/2019
Last updated
03/01/2019
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