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Molly Koczarski
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center in Spanaway, Washington
NPI 1821407081

Molly Koczarski is a Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center based in Spanaway, WA and is specialized in Military Ambulatory Procedure Visits Operational (Transportable). Molly Koczarski practices in Spanaway, WA. The NPI Number for Molly Koczarski is 1821407081 and holds a License No. DI60083621 (Washington).

The current practice location address for Molly Koczarski is 18811 19Th Avenue Ct E, Spanaway, WA and can be reached out via phone at 360-580-5423.

Location: 18811 19Th Avenue Ct E, Spanaway, WA, 98387-4136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821407081
Provider Name
Molly Koczarski
Credential
Provider Entity Type
Organization
Address
18811 19Th Avenue Ct E, Spanaway, WA, 98387-4136
Phone Number
360-580-5423
Fax Number
Provider Enumeration Date
08/12/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18811 19Th Avenue Ct E
City
Spanaway
State
Washington
Zip
98387-4136
Phone Number
360-580-5423
Fax Number
person
Provider Business Mailing Address Details
Address
18811 19Th Avenue Ct E
City
Spanaway
State
Washington
Zip
98387-4136
Phone Number
360-580-5423
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military Ambulatory Procedure Visits Operational (Transportable)
Taxonomy
261QM1103X
License No.
DI60083621 (Washington)
Definition
"Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals.
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