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Organization

CAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM GLENN ROBERTSON (CEO)
(253) 403-1272
Entity
Organization

Contact information

Practice address
3900 CAPITOL MALL DR SW, OLYMPIA, WA 98502-8654
(360) 956-1299
(360) 704-4751
Mailing address
P.O. BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
208800000X
Urology Physician
208M00000X
Hospitalist Physician

Other

Enumeration date
12/07/2010
Last updated
08/04/2025
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