Individual
MR. ANTHONY TIMOTHY ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5196
(360) 923-7740
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5196
(360) 923-7740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60405513
WA
Other
Enumeration date
08/22/2013
Last updated
04/29/2021
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