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Individual

ROBERT TRENT MCKAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
615 LILLY RD NE, SUITE 100, OLYMPIA, WA 98506-5117
(360) 491-4211
(360) 493-0407
Mailing address
PO BOX 368, OLYMPIA, WA 98507-0368
(360) 491-8439
(360) 491-6328

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00048101
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8490658
WA
Enumeration date
05/17/2006
Last updated
08/26/2008
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