IDALIS INC
Neurology at College St, Olympia, WA

License number
Washington 06-00027820
Category
Neurology
Type
Neurology
Owner
Name: SAMUEL E COOR DO
Title: OWNER
Phone: (360) 413-1728
Address
Address
3663 College St SE STE A, Olympia, WA 98503
National Provider ID: 1184640591
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Idalis Inc

Olympia, WA

Industry:
Medical Doctor's Office
Doing business as:
Idalis Rejuvination Medicine
Registration:
Jan 1, 1992
Phone:
(360) 413-1556 (Phone)
Addresses:
3663 College St Se Ste A, Lacey, WA 98503
3663 College St SE, Olympia, WA 98503
Owner, Principal:
Samuel E Coor (Owner, Principal)
Categories:
Physicians & Surgeons - Cosmetic, Plastic & Reconstructive Surgery

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