Mount Rainier Urology, Inc, Ps

NPI #1053641183 in Olympia, Washington

Provider Information

NPI Number: 1053641183
Entity Type: Organization
Organization Name: Mount Rainier Urology, Inc, Ps
Primary Specialty: Urology
Enumeration Date: Jan 13, 2010
Last Updated: Feb 23, 2015

Practice Location

Address: 703 LILLY RD NE
Address 2: SUITE 106
City: Olympia
State: Washington
ZIP Code: 98506-5191
Phone: (360) 350-0281

Authorized Official

Name: DR. SIMON PHILIP ZADINA, M.D.
Title: PRESIDENT & SOLO PRACTITIONER
Phone: (360) 350-0281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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