| Daniel T. Dugaw,d.o., P.s. | |
|
405 Black Hills Ln Sw Suite E Olympia WA 98502-8661 | |
| (360) 352-8781 | |
| (360) 352-8837 |
| Full Name | Daniel T. Dugaw,d.o., P.s. |
|---|---|
| Speciality | Family Medicine |
| Location | 405 Black Hills Ln Sw, Olympia, Washington |
| Authorized Official Name and Position | Daniel T. Dugaw (OWNER) |
| Authorized Official Contact | 3603528781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel T. Dugaw,d.o., P.s. 405 Black Hills Ln Sw Suite E Olympia WA 98502-8661 Ph: (360) 352-8781 | Daniel T. Dugaw,d.o., P.s. 405 Black Hills Ln Sw Suite E Olympia WA 98502-8661 Ph: (360) 352-8781 |
| NPI Number | 1083853253 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 02/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083853253 | NPI | - | NPPES |
| 1235803 | Medicaid | WA | |
| 35974 | Other | WA | LABOR & INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00000759 (Washington) | Primary |
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