Organization
BINA SOURI MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BINA C SOURI MD (OWNER/PHYSICIAN)
(360) 956-1880
Entity
Organization
Contact information
Practice address
403 BLACK HILLS LN SW, SUITE C, OLYMPIA, WA 98502-8600
(360) 956-1880
Mailing address
403 BLACK HILLS LN SW, SUITE C, OLYMPIA, WA 98502-8600
(360) 956-1880
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00028023
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1085190
—
WA
Enumeration date
08/29/2012
Last updated
05/21/2018
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