Organization
CAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS, LLC
Active
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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