Organization
DANIEL M. KATZ,D.O., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL M. KATZ D.O. (OWNER)
(360) 705-1015
Entity
Organization
Contact information
Practice address
405 BLACK HILLS LN SW, SUITE B1, OLYMPIA, WA 98502-8661
(360) 705-1015
(360) 705-1313
Mailing address
405 BLACK HILLS LN SW, SUITE B1, OLYMPIA, WA 98502-8661
(360) 705-1015
(360) 705-1313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001704
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197132
LABOR & INDUSTRIES
WA
05
—
0197132
—
WA
01
—
7925KA
REGENCE
WA
01
—
G8855152
MEDICARE
WA
Enumeration date
02/04/2008
Last updated
12/27/2010
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