Individual
JOSEPH PELLICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 491-9480
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00025036
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168553
WA L &I
—
05
—
268750
—
OR
05
—
8246910
—
WA
01
—
8935581
WA CRIME VICTIMS
—
01
—
930111843
RAILROAD
—
01
—
A011
CHAMPUS
—
01
—
E33368
GROUP HEALTH
—
01
—
PE3371
REGENCE BS
—
Enumeration date
06/16/2006
Last updated
04/28/2021
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