| Daniel M. Katz,d.o., Pllc | |
|
405 Black Hills Ln Sw Suite B1 Olympia WA 98502-8661 | |
| (360) 705-1015 | |
| (360) 705-1313 |
| Full Name | Daniel M. Katz,d.o., Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 405 Black Hills Ln Sw, Olympia, Washington |
| Authorized Official Name and Position | Daniel M. Katz (OWNER) |
| Authorized Official Contact | 3607051015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel M. Katz,d.o., Pllc 405 Black Hills Ln Sw Suite B1 Olympia WA 98502-8661 Ph: (360) 705-1015 | Daniel M. Katz,d.o., Pllc 405 Black Hills Ln Sw Suite B1 Olympia WA 98502-8661 Ph: (360) 705-1015 |
| NPI Number | 1538347315 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 12/27/2010 |
| Medicare PECOS PAC ID | 4880625490 |
|---|---|
| Medicare Enrollment ID | O20050823001184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538347315 | NPI | - | NPPES |
| 0197132 | Other | WA | LABOR & INDUSTRIES |
| 7925KA | Other | WA | REGENCE |
| 0197132 | Medicaid | WA | |
| G8855152 | Other | WA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00001704 (Washington) | Primary |
| Provider Name | Daniel M Katz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316087042 PECOS PAC ID: 6608807219 Enrollment ID: I20050823001189 |
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