Organization
ASSOCIATED SURGEONS OF WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATUL THAKKER M.D. (MD)
(360) 736-1195
Entity
Organization
Contact information
Practice address
1720 COOKS HILL RD, CENTRALIA, WA 98531-9071
(360) 736-1195
(360) 736-4952
Mailing address
1720 COOKS HILL RD, CENTRALIA, WA 98531-9071
(360) 736-1195
(360) 736-4952
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7075526
—
WA
Enumeration date
01/05/2006
Last updated
12/13/2007
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