DR. Brent Packer, M.D.

NPI #1902959018 in Lacey, Washington

Provider Information

NPI Number: 1902959018
Entity Type: Individual
Name: DR. Brent Packer, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Jan 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4220 INGLESIDE DR SE
City: Lacey
State: Washington
ZIP Code: 98503-2108
Phone: (360) 456-3429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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