BRENT PACKER

LACEY, WA
NPI1902959018
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: WA  MD00033748)
Enumeration Date2007-01-19
Last Update Date2007-07-08
Business Address
DR. BRENT PACKER M.D.
4220 INGLESIDE DR SE
LACEY, WA 98503-2108
Phone number: 360-456-3429
Mailing Address
DR. BRENT PACKER M.D.
4220 INGLESIDE DR SE
LACEY, WA 98503-2108
Phone number: 360-456-3429