Brent Packer is a General Practice in Lacey, Washington. Brent Packer practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brent Packer is 1902959018. The last update date is 2007-07-08.
Brent Packer's current location address is 4220 Ingleside Dr Se, Lacey, Washington. You can contact this provider via phone number 3604563429. The mailing address for Brent Packer is 4220 Ingleside Dr Se, Lacey, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Packer |
|---|---|
| Address | 4220 Ingleside Dr Se, Lacey, Washington |
| Phone Number | 3604563429 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902959018 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4220 Ingleside Dr Se |
|---|---|
| City | Lacey |
| State | Washington (WA) |
| Post Code | 985032108 |
| Phone Number | 3604563429 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | MD00033748 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brent Packer by the Centers for Medicare & Medicaid Services?
The Brent Packer has been issued the NPI (National Provider Identifier) 1902959018, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Brent Packer's facilities are situated?
The facilities of Brent Packer are physically located at the following address: 4220 Ingleside Dr Se, Lacey, WA, 985032108.
What is the Brent Packer's specialty and taxonomy code?
The Brent Packer's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did the Brent Packer receive the assignment of its 1902959018 from the Centers for Medicare & Medicaid Services?
The Brent Packer was issued its 1902959018 by the Centers for Medicare & Medicaid Services on 2007-01-19.
When was the information pertaining to Brent Packer most recently updated or revised?
The details related to Brent Packer, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.