Organization
OLYMPIA ANESTHESIA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WAGNER MD (HEAD OF GROUP)
(360) 493-6400
Entity
Organization
Contact information
Practice address
205 LILLY RD NE, SUITE D, OLYMPIA, WA 98506-5069
(360) 493-6400
Mailing address
PO BOX 94625, SEATTLE, WA 98124-6925
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
11/14/2007
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