Organization · Type 2 NPI
Idalis Inc
Neurology Physician · Lacey, WA
NPI number
1184640591
Active
Practice location
3663 College St SE Ste A
Lacey, WA 98503-3529
Fax (360) 413-1669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 06-00027820 (WA) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2 other providers at this address
About NPI 1184640591
Idalis Inc's National Provider Identifier is 1184640591, issued on Jul 15, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Lacey, WA. The record was last updated on Dec 10, 2007.