| Capital Medical Center Physicians Llc | |
|
5130 Corporate Center Ct Se Lacey WA 98503-5957 | |
| (360) 413-8600 | |
| (360) 413-8822 |
| Full Name | Capital Medical Center Physicians Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5130 Corporate Center Ct Se, Lacey, Washington |
| Authorized Official Name and Position | William Glenn Robertson (CEO) |
| Authorized Official Contact | 2534031272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Medical Center Physicians Llc P.o. Box 5299 Ms: 1313-5-pco Tacoma WA 98415-0299 Ph: () - | Capital Medical Center Physicians Llc 5130 Corporate Center Ct Se Lacey WA 98503-5957 Ph: (360) 413-8600 |
| NPI Number | 1649037623 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649037623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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