Unknown Individual – Specialist, NPI 1053362715
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1200, North 14th Avenue, Tri-Cities, Franklin County, Washington, 99301, United States
SUITE 300A
PASCO, WA 993014182
Phone: (509) 545-0210
Fax: (509) 545-0601
Type: Location
1954, Sheridan Place, Meadow Springs, South Richland, Richland, Benton County, Washington, 99352, United States
RICHLAND, WA 993527634
Phone: (509) 545-0210
Fax: (509) 545-0601
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99301)
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