Bruce A Wing is a Surgical in Olympia, Washington. Bruce A Wing practices all healthcare services and medical treatments related to Surgical. The NPI Number for Bruce A Wing is 1093995698. The last update date is 2018-05-21.
Bruce A Wing's current location address is 1620 Cooper Point Rd Sw, Olympia, Washington. You can contact this provider via phone number 3604866710 and fax number 3607050614. The mailing address for Bruce A Wing is 1620 Cooper Point Rd Sw, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bruce A Wing |
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Address | 1620 Cooper Point Rd Sw, Olympia, Washington |
Phone Number | 3604866710 |
Fax Number | 3607050614 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1093995698 |
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Provider Enumeration Date | 2007-11-12 |
Last Updated Date | 2018-05-21 |
Provider Mailing Address Detail
Address | 1620 Cooper Point Rd Sw |
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City | Olympia |
State | Washington (WA) |
Post Code | 98502 |
Phone Number | 3604866710 |
Fax Number | 3607050614 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | AMD 412 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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433905099 | ME | -- |
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What is the unique provider identifier assigned to Bruce A Wing?
The Bruce A Wing has been issued the NPI (National Provider Identifier) 1093995698 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Bruce A Wing located?
The Bruce A Wing is located at 1620 Cooper Point Rd Sw, Olympia, WA 98502.
What is Bruce A Wing's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bruce A Wing's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.
On what date did the Bruce A Wing receive its 1093995698 assignment from the Centers for Medicare & Medicaid Services?
The Bruce A Wing was assigned its 1093995698 by the Centers for Medicare & Medicaid Services on 2007-11-12.
As of what date were the Bruce A Wing's details last updated?
The information pertaining to the Bruce A Wing, including its address, specialty, and other details, was most recently updated on 2018-05-21.