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MONDAY JULY 02 2018 NPI 1902457211


NPI Information

NPI: 1902457211
Provider Name: MONDAY, JULY 02, 2018
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
3920 CAPITAL MALL DR SW STE 100
OLYMPIA, WA
ZIP 98502
Phone: (360) 345-1382
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MONDAY, JULY 02, 2018 is a hematology and oncology internal medicine in Olympia, WA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MONDAY, JULY 02, 2018 NPI is 1902457211. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3920 CAPITAL MALL DR SW STE 100
OLYMPIA, WA
ZIP 98502-701
Phone: (360) 345-1382
Fax: (360) 345-1382

The provider's authorized official is Lucio Navarro Gordan .
The authorized official title is Owner/president and has the following contact phone number (239) 274-8200.

The enumeration date for this NPI number is 9/27/2019 and was last updated on 9/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0000XInternal MedicineHematologyNo
2207RX0202XInternal MedicineMedical OncologyNo
3207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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