Img Wa LLC

NPI #1780108027 in Tumwater, Washington

Provider Information

NPI Number: 1780108027
Entity Type: Organization
Organization Name: Img Wa LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 28, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 300 DESCHUTES WAY SW STE 304
City: Tumwater
State: Washington
ZIP Code: 98501-7719
Phone: (800) 564-1303

Authorized Official

Name: TIM MCMENAMIN
Title: MANAGER
Phone: (800) 564-1303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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