Organization
OLYMPIA NEUROLOGY, PLLC
Active
Organization
OLYMPIA NEUROLOGY, PLLC
Active
Parent organization
OLYMPIA NEUROLOGY, PLLC
Other names
Brain & Spine Imaging Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLYMPIA NEUROLOGY, PLLC
Authorized official
DR. LEO W KESTING MD (MEDICAL DIRECTOR)
(360) 464-6030
Entity
Organization
Contact information
Practice address
128 LILLY RD NE, SUITE 101, OLYMPIA, WA 98506-7400
(360) 464-6030
(360) 464-6000
Mailing address
PO BOX 960, CENTRALIA, WA 98531-0960
(360) 464-6030
(360) 464-6000
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
602098189
WA
Other
Enumeration date
10/03/2008
Last updated
05/07/2009
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