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Organization

EAR NOSE AND THROAT ASSOCIATES SOUTHWEST INC PS

Active
Parent organization
EAR NOSE AND THROAT ASSOCIATES SOUTHWEST INC PS
Organization subpart
Yes

Provider details

NPI number
Legal business name
EAR NOSE AND THROAT ASSOCIATES SOUTHWEST INC PS
Authorized official
SUNG-WON KIM MD (CEO)
(360) 357-6314
Entity
Organization

Contact information

Practice address
128 LILLY RD NE STE 202, OLYMPIA, WA 98506-7400
(360) 357-6314
(360) 705-3745
Mailing address
128 LILLY RD NE STE 202, OLYMPIA, WA 98506-7400
(360) 357-6314
(360) 705-3745

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
02/06/2024
Last updated
02/06/2024
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