Pacific Surgical Weight Loss Center, Pllc

NPI #1730456971 in Olympia, Washington

Provider Information

NPI Number: 1730456971
Entity Type: Organization
Organization Name: Pacific Surgical Weight Loss Center, Pllc
Primary Specialty: Specialist
Enumeration Date: Nov 16, 2011
Last Updated: Nov 16, 2011

Practice Location

Address: 200 LILLY RD NE
Address 2: STE. C-2
City: Olympia
State: Washington
ZIP Code: 98506
Phone: (360) 412-3120

Authorized Official

Name: MRS. JACKIE HENDERSON
Title: INSURANCE STAFF
Phone: (360) 412-3120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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