Organization
PERGAM MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DORNEY (CEO)
(206) 403-6656
Entity
Organization
Contact information
Practice address
2103 HARRISON AVE NW, SUITE 2692, OLYMPIA, WA 98502-2636
(206) 403-6656
Mailing address
2103 HARRISON AVE NW, SUITE 2692, OLYMPIA, WA 98502-2636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00031059
WA
Other
Enumeration date
08/16/2010
Last updated
10/26/2010
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