| West Olympia Bone Density Center | |
|
406 Yauger Way Sw Suite A Olympia WA 98502-8151 | |
| (360) 352-3232 | |
| (360) 352-2942 |
| Full Name | West Olympia Bone Density Center |
|---|---|
| Speciality | Internal Medicine - Adolescent Medicine |
| Location | 406 Yauger Way Sw, Olympia, Washington |
| Authorized Official Name and Position | Virginia R Cannon (OWNER) |
| Authorized Official Contact | 3603523232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Olympia Bone Density Center 406 Yauger Way Sw Suite A Olympia WA 98502-8151 Ph: (360) 352-3232 | West Olympia Bone Density Center 406 Yauger Way Sw Suite A Olympia WA 98502-8151 Ph: (360) 352-3232 |
| NPI Number | 1144402009 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 10/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144402009 | NPI | - | NPPES |
| 117480 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
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