Organization
OLYMPIA CARDIAC SURGERY, INC., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA DICKINSON (OFFICE MANAGER)
(360) 493-4510
Entity
Organization
Contact information
Practice address
525 LILLY RD NE, SUITE 200, OLYMPIA, WA 98506-5101
(360) 493-4510
(360) 493-7759
Mailing address
525 LILLY RD NE, SUITE 200, OLYMPIA, WA 98506-5101
(360) 493-4510
(360) 493-7759
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7059553
—
WA
Enumeration date
02/12/2007
Last updated
10/17/2007
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