Organization
SOUTH SOUND SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID FJ TOLLEFSON MD (MANAGING PARTNER)
(360) 280-6612
Entity
Organization
Contact information
Practice address
3900 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8654
(360) 754-5858
Mailing address
5130 PATTISON LAKE LN SE, OLYMPIA, WA 98513-6416
(360) 280-6612
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
601814468
WA
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115566
LABOR AND INDUSTRIES
WA
05
—
7085947
—
WA
Enumeration date
09/29/2006
Last updated
11/01/2023
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