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Individual

W. ALEXANDER KISTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7089

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00027363
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8124612
WA
Enumeration date
12/27/2006
Last updated
05/19/2017
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