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INTERVENTIONAL REHABILITATION OF WASHINGTON, P.C.

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Company Details

Legal Name: INTERVENTIONAL REHABILITATION OF WASHINGTON, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: April 1st 2009
Date of Dissolution: November 14th 2014
Expiration date: 30 Apr 2015
UBI Number: 602 912 153
ZIP code: 98502
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3900 CAPITAL MALL DR SW, OLYMPIA, WA, 98502, UNITED STATES

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Registered Agent Information

Name Role Address
C T CORPORATION SYSTEM Registered Agent 711 CAPITOL WAY S STE 204, OLYMPIA, WA, 98501-1267, UNITED STATES

Key Officers & Management

Name Role Address
GILBERT DROZDOW MD Governing Person 1613 N HARRISON PKWY STE C-200, # SH-1, SUNRISE, FL, 33323, UNITED STATES

National Provider Identifier

NPI Number:
1932338878

Authorized Person:

Name:
DR. GILBERT DROZDOW
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

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