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Dr. Brent Packer, MD
General Practice Physician in Lacey, Washington
NPI 1902959018

Brent Packer is a General Practice Physician based in Lacey, WA. Brent Packer practices in Lacey, WA and has the professional credentials of MD. The NPI Number for Brent Packer is 1902959018 and holds a License No. MD00033748 (Washington).

The current practice location address for Brent Packer is 4220 Ingleside Dr Se, Lacey, WA and can be reached out via phone at 360-456-3429.

Location: 4220 Ingleside Dr Se, Lacey, WA, 98503-2108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902959018
Provider Name
Brent Packer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4220 Ingleside Dr Se, Lacey, WA, 98503-2108
Phone Number
360-456-3429
Fax Number
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4220 Ingleside Dr Se
City
Lacey
State
Washington
Zip
98503-2108
Phone Number
360-456-3429
Fax Number
person
Provider Business Mailing Address Details
Address
4220 Ingleside Dr Se
City
Lacey
State
Washington
Zip
98503-2108
Phone Number
360-456-3429
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
MD00033748 (Washington)
Definition
Definition to come...
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