Organization
UROLOGY ASSOCIATES, LTD., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S PECKLER M.D.. (PRESIDENT)
(360) 456-4666
Entity
Organization
Contact information
Practice address
3525 ENSIGN RD NE, SUITE A, OLYMPIA, WA 98506-5065
(360) 456-4666
(360) 459-1566
Mailing address
3525 ENSIGN RD NE, SUITE A, OLYMPIA, WA 98506-5065
(360) 456-4666
(360) 459-1566
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00019049
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54181
LABOR AND INDUSTRY
WA
05
—
7744006
—
WA
01
—
CS0195
RAILROAD MEDICARE
WA
01
—
T00395
REGENCE
WA
Enumeration date
06/24/2006
Last updated
11/12/2008
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