Pergam Med Corp | |
2103 Harrison Ave Nw Suite 2692 Olympia WA 98502-2636 | |
(206) 403-6656 | |
Not Available |
Full Name | Pergam Med Corp |
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Speciality | Internal Medicine |
Location | 2103 Harrison Ave Nw, Olympia, Washington |
Authorized Official Name and Position | Michael Dorney (CEO) |
Authorized Official Contact | 2064036656 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pergam Med Corp 2103 Harrison Ave Nw Suite 2692 Olympia WA 98502-2636 Ph: () - | Pergam Med Corp 2103 Harrison Ave Nw Suite 2692 Olympia WA 98502-2636 Ph: (206) 403-6656 |
NPI Number | 1760797674 |
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Provider Enumeration Date | 08/16/2010 |
Last Update Date | 10/26/2010 |
Identifier | Type | State | Issuer |
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1760797674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00031059 (Washington) | Primary |
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